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Contact Information

KOUICHI ITOH, DDS
3151 AIRWAY AVE. # F-103
COSTA MESA, CA92626
 Phone: 714-549-7030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KOUICHI ITOH · (Male)

NPI # 1063633113
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/02/2007
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 39420
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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