Glenn Tetsuo Komae in Huntington Beach - Dentist
Glenn Tetsuo Komae - NPI 1487874343
Glenn Tetsuo Komae is a Dentist in Huntington Beach, California. Glenn Tetsuo Komae practices all healthcare services and medical treatments related to Dentist. The NPI Number for Glenn Tetsuo Komae is 1487874343. The last update date is 2007-07-08.
Glenn Tetsuo Komae's current location address is 16882 Bolsa Chica St, Huntington Beach, California. You can contact this provider via phone number 7148462837 and fax number 7148406657. The mailing address for Glenn Tetsuo Komae is 16882 Bolsa Chica St, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Tetsuo Komae |
|---|---|
| Address | 16882 Bolsa Chica St, Huntington Beach, California |
| Phone Number | 7148462837 |
| Fax Number | 7148406657 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1487874343 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16882 Bolsa Chica St |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926493592 |
| Phone Number | 7148462837 |
| Fax Number | 7148406657 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22631 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Glenn Tetsuo Komae by the Centers for Medicare & Medicaid Services?
The Glenn Tetsuo Komae has been assigned the NPI (National Provider Identifier) 1487874343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Glenn Tetsuo Komae is located?
The Glenn Tetsuo Komae is situated at the following address: 16882 Bolsa Chica St, Huntington Beach, CA, 926493592.
What is Glenn Tetsuo Komae's area of expertise and its corresponding taxonomy classification?
The Glenn Tetsuo Komae's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1487874343 assigned to Glenn Tetsuo Komae?
The Glenn Tetsuo Komae was issued its 1487874343 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Glenn Tetsuo Komae's information last updated?
The Glenn Tetsuo Komae's information was last updated on 2007-07-08.
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