Individual provider · Type 1 NPI

David M. Ichimura, DDS

General Practice Dentistry · San Jose, CA

NPI number 1417082041 Active

About NPI 1417082041

David M. Ichimura, DDS's National Provider Identifier is 1417082041, issued on Feb 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.