Nakamura, Robert Mitsuo

Nakamura, Robert Mitsuo is an individual health care provider with primary practice located at 1206 S El Dorado St , Stockton CA 95206-1343. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nakamura, Robert Mitsuo can be contacted via phone (209) 462-1361.

Contact Information

Primary practice address
1206 S El Dorado St Stockton CA 95206-1343
Phone: (209) 462-1361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20774 California

Profile Details

NPI number 1629139274
LBN Legal business name Nakamura, Robert Mitsuo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1629139274 NPPES
California Other B20774 DENTICAL

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