Individual provider · Type 1 NPI
Grant Matsuura
General Practice Dentistry · Los Angeles, CA
NPI number
1386064079
Active
Practice location
714 Triverton Ave
Los Angeles, CA 90095-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 112852 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1386064079
Grant Matsuura's National Provider Identifier is 1386064079, issued on Apr 21, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2026.