Kitasoe, R Glenn

Kitasoe, R Glenn is an individual health care provider with primary practice located at 825 Oak Grove Ave C-501, Menlo Park CA 94025-4434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kitasoe, R Glenn can be contacted via phone (650) 323-5211.

Contact Information

Primary practice address
825 Oak Grove Ave C-501 Menlo Park CA 94025-4434
Phone: (650) 323-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29329 California

Profile Details

NPI number 1124244611
LBN Legal business name Kitasoe, R Glenn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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