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Kyle Kitasoe
General Practice Dentistry in Menlo Park, California
NPI 1184251092

Kyle Kitasoe is a General Practice Dentistry based in Menlo Park, CA and is specialized in General Practice. Kyle Kitasoe practices in Menlo Park, CA. The NPI Number for Kyle Kitasoe is 1184251092 and holds a License No. (California).

The current practice location address for Kyle Kitasoe is 825 Oak Grove Ave Ste C501, Menlo Park, CA and can be reached out via phone at 650-323-5211.

Location: 825 Oak Grove Ave Ste C501, Menlo Park, CA, 94025-4427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184251092
Provider Name
Kyle Kitasoe
Credential
Provider Entity Type
Individual
Gender
Male
Address
825 Oak Grove Ave Ste C501, Menlo Park, CA, 94025-4427
Phone Number
650-323-5211
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 Oak Grove Ave Ste C501
City
Menlo Park
State
California
Zip
94025-4427
Phone Number
650-323-5211
Fax Number
person
Provider Business Mailing Address Details
Address
825 Oak Grove Ave Ste C501
City
Menlo Park
State
California
Zip
94025-4427
Phone Number
650-323-5211
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106703 (California)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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