Kevin Shigeru Omoto, DDS Valid NPI
Individual provider · Dentist · Westminster, CA
- NPI
- 1609176460
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 58854 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-10-27
- Last updated
- 2010-10-27
Practice location
15355 Brookhurst St, #101
Westminster, CA 92683-7077
(714) 531-5175