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Dr. Stanley Makoto Jitsumyo, DDS
General Practice Dentistry in Clovis, California
NPI 1639277627

Stanley Makoto Jitsumyo is a General Practice Dentistry based in Clovis, CA and is specialized in General Practice. Stanley Makoto Jitsumyo practices in Clovis, CA and has the professional credentials of DDS. The NPI Number for Stanley Makoto Jitsumyo is 1639277627 and holds a License No. 27441 (California).

The current practice location address for Stanley Makoto Jitsumyo is 200 W Bullard Ave, Clovis, CA and can be reached out via phone at 559-298-6684.

Location: 200 W Bullard Ave, Clovis, CA, 93612-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639277627
Provider Name
Stanley Makoto Jitsumyo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
200 W Bullard Ave, Clovis, CA, 93612-7610
Phone Number
559-298-6684
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 W Bullard Ave
City
Clovis
State
California
Zip
93612-7610
Phone Number
559-298-6684
Fax Number
person
Provider Business Mailing Address Details
Address
200 W Bullard Ave
City
Clovis
State
California
Zip
93612-7610
Phone Number
559-298-6684
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
27441 (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.
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