Provider Demographics
NPI:1063665180
Name:NAKAMURA, YUKO CHRISTINE (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:YUKO
Middle Name:CHRISTINE
Last Name:NAKAMURA
Suffix:
Gender:F
Credentials:DMD, MD
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Mailing Address - Street 1:895 MORAGA RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5094
Mailing Address - Country:US
Mailing Address - Phone:925-283-1212
Mailing Address - Fax:925-283-1217
Practice Address - Street 1:895 MORAGA RD
Practice Address - Street 2:SUITE 7
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5094
Practice Address - Country:US
Practice Address - Phone:925-283-1212
Practice Address - Fax:925-283-1217
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2011-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOMS 901223S0112X
CAA1103571223S0112X
NY0552451223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery