Individual provider · Type 1 NPI

Larry E. Fukumoto, D.D.S

Pediatric Dentistry · Cypress, CA

NPI number 1346354685 Active

Practice location

5631 Lincoln Ave
Cypress, CA 90630-3156

Fax (714) 995-2081

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X18832 (CA)

Pediatric Dentistry: 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.

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About NPI 1346354685

Larry E. Fukumoto, D.D.S's National Provider Identifier is 1346354685, issued on Aug 17, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cypress, CA. The record was last updated on Jul 8, 2007.