Provider Demographics
NPI:1528199270
Name:KUNIHIRA, RICHARD YOSHITO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:YOSHITO
Last Name:KUNIHIRA
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 1:585 NORTH MOUNTAIN AVENUE
Mailing Address - Street 2:SUITE C
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-985-5117
Mailing Address - Fax:909-982-9113
Practice Address - Street 1:585 NORTH MOUNTAIN AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-985-5117
Practice Address - Fax:909-982-9113
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA348641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB3486401Medicare ID - Type UnspecifiedMEDI-CAL
CAB3486401Medicare UPIN