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General NPI Number Information
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NPI Number | 1851508535
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Entity Type | Organization
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Legal Business Name | WILLIAM T. FUTA DDS INC.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1111 W TOWN AND COUNTRY RD SUITE 46
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City | ORANGE
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State | CA
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Zip | 92868-4615
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Country | US
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Telephone | 714-835-4441
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Fax | 714-835-0188
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Provider Business Mailing Address
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Address Line | 1111 W TOWN AND COUNTRY RD SUITE 46
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City | ORANGE
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State | CA
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Zip | 92868-4615
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Country | US
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Telephone | 714-835-4441
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Fax | 714-835-0188
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM TOSHIO FUTA
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Credential | DDS, MSD
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Telephone | 714-835-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 19882
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License Number State | CA
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