TAKASHI KOYAMA

FORT PIERCE, FL
NPI1356459028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: FL  DN16376)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL  DN16376)
Enumeration Date2006-08-25
Last Update Date2019-07-16
Business Address
Prof. TAKASHI KOYAMA DMD, PhD FACS
2402 FRIST BLVD STE 100
FORT PIERCE, FL 34950-4838
Phone number: 772-461-9700
Mailing Address
Prof. TAKASHI KOYAMA DMD, PhD FACS
2402 FRIST BLVD STE 100
FORT PIERCE, FL 34950-4838
Phone number: 772-461-9700