Individual provider · Type 1 NPI
Todd Shuji Kimura, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Fort Irwin, CA
Practice location
4th & Interloop Road, Bldg 171, US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Irwin, CA 92311
Fax (719) 524-2843
Mailing address
1631 Wetzel Avenue, Bldg 815, US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Carson, CO 80913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 43803 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DT-2429 (HI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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- Louis Rembert Kubala, DMDOrthodontics and Dentofacial Orthopedics Dentistry Fort Irwin, CA NPI 1841270030
- Jesse Craig Thompson, DMDOrthodontics and Dentofacial Orthopedics Dentistry Fort Irwin, CA NPI 1871931394
About NPI 1669457164
Todd Shuji Kimura, DDS's National Provider Identifier is 1669457164, issued on Dec 7, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Irwin, CA. The record was last updated on Aug 14, 2012.