TAKASHI KOYAMA DMD PHD PA

FORT PIERCE, FL
NPI1558429753
Doing Business AsFLORIDA INSTITUTE OF OMS
Entity TypeOrganization
Authorized ContactTANYA GONZALEZ
Practice Manager
772-461-9700
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2006-12-04
Last Update Date2024-01-31
Business Address
TAKASHI KOYAMA DMD PHD PA
2402 FRIST BLVD STE 100
FORT PIERCE, FL 34950-4838
Phone number: 772-461-9700
Mailing Address
TAKASHI KOYAMA DMD PHD PA
2402 FRIST BLVD STE 100
FORT PIERCE, FL 34950-4838
Phone number: 772-461-9700