Provider Demographics
NPI:1114130267
Name:KURIMOTO, CHRISTOPHER JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:KURIMOTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 N. BRAND BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2572
Mailing Address - Country:US
Mailing Address - Phone:818-937-6700
Mailing Address - Fax:818-937-6701
Practice Address - Street 1:1122 N BRAND BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2547
Practice Address - Country:US
Practice Address - Phone:818-937-6700
Practice Address - Fax:818-937-6701
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA454801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice