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Dr. Larry E. Fukumoto, DDS
Pediatric Dentist in Cypress, California
NPI 1346354685

Larry E. Fukumoto is a Pediatric Dentist based in Cypress, CA and is specialized in Pediatric Dentistry. Larry E. Fukumoto practices in Cypress, CA and has the professional credentials of DDS. The NPI Number for Larry E. Fukumoto is 1346354685 and holds a License No. 18832 (California).

The current practice location address for Larry E. Fukumoto is 5631 Lincoln Ave, Cypress, CA and can be reached out via phone at 714-995-2040 and via fax at 714-995-2081.

Location: 5631 Lincoln Ave, Cypress, CA, 90630-3156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346354685
Provider Name
Larry E. Fukumoto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5631 Lincoln Ave, Cypress, CA, 90630-3156
Phone Number
714-995-2040
Fax Number
714-995-2081
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5631 Lincoln Ave
City
Cypress
State
California
Zip
90630-3156
Phone Number
714-995-2040
Fax Number
714-995-2081
person
Provider Business Mailing Address Details
Address
5631 Lincoln Ave
City
Cypress
State
California
Zip
90630-3156
Phone Number
714-995-2040
Fax Number
714-995-2081
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18832 (California)
Definition
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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