R. GLENN KITASOEDDSINC. NPI 1689894198

NPI Information

R. GLENN KITASOE,DDS,INC. is a general practice dentist in Menlo Park, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. R. GLENN KITASOE,DDS,INC. NPI is 1689894198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 OAK GROVE AVE
MENLO PARK, CA
ZIP 94025-434
Phone: (650) 323-5211

The provider's authorized official is R. Glenn Kitasoe .
The authorized official title is Dentist and has the following contact phone number (650) 323-5211.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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