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1609176460
KEVIN SHIGERU OMOTO
WESTMINSTER, CA
NPI
1609176460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 58854)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
Dr. KEVIN SHIGERU OMOTO DDS
15355 BROOKHURST ST #101
WESTMINSTER, CA 92683-7077
Phone number: 714-531-5175
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Mailing Address
Dr. KEVIN SHIGERU OMOTO DDS
243 E SANTA FE CT
PLACENTIA, CA 92870-6002
Phone number:
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