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NPI Code Detail

MEDICARE: ATSUSHI FUJIMURA DDS

MEDICARE:   ATSUSHI  FUJIMURA  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodonticsDDS102773CA

General Provider Information

NPI Number : 1912320482
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATSUSHI FUJIMURA DDS
Provider Business Mailing Address
First Line : 100 GRAND AVE APT 2303
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3090
Country : US
Telephone Number : 858-242-2252
Fax Number :
Provider Business Practice Location Address
First Line : 6431 FAIRMOUNT AVE STE 2
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-3624
Country : US
Telephone Number : 510-524-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 12/15/2021

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Directions to “ ATSUSHI FUJIMURA DDS” Practice Location

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