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1346354685
LARRY E. FUKUMOTO
CYPRESS, CA
NPI
1346354685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 18832)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Dr. LARRY E. FUKUMOTO D.D.S
5631 LINCOLN AVE
CYPRESS, CA 90630-3156
Phone number: 714-995-2040
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Mailing Address
Dr. LARRY E. FUKUMOTO D.D.S
5631 LINCOLN AVE
CYPRESS, CA 90630-3156
Phone number: 714-995-2040
Copy
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