Doctor Name: | STEVEN H. FUJIMOTO |
NPI Number: | 1346316031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 50056 |
Business Practice Address: | 8505 Gulana Ave Unit 6114 Playa Del Rey, CA - 902938380 |
Business Phone Number: | 4155158766 |
Business Fax Number: | |
Mailing Address: | 8505 Gulana Ave, Unit 6114 PLAYA DEL REY |
State: | CA |
Postal Code: | 902938380 |
Phone Number: | 4155158766 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 50056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |