Jitsumyo, Stanley Makoto
Jitsumyo, Stanley Makoto is an sole proprietor health care provider with primary practice located at 200 W Bullard Ave Suite D-3, Clovis CA 93612-7610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jitsumyo, Stanley Makoto can be contacted via phone (559) 298-6684.Contact Information
Primary practice address
200 W Bullard Ave Suite D-3
Clovis CA 93612-7610
Phone: (559) 298-6684
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 27441 | California |
Profile Details
| NPI number | 1639277627 |
|---|---|
| LBN Legal business name | Jitsumyo, Stanley Makoto |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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