| NPI | 1841327467 |
|---|---|
| Former Name | SHINICHI BRIAN NOGUCHI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 33964) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |