Provider Demographics
NPI:1831474824
Name:KURAMOTO, YOKO (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOKO
Middle Name:
Last Name:KURAMOTO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4406
Mailing Address - Country:US
Mailing Address - Phone:650-341-8551
Mailing Address - Fax:650-341-5698
Practice Address - Street 1:105 37TH AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4406
Practice Address - Country:US
Practice Address - Phone:650-341-8551
Practice Address - Fax:650-341-5698
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47746122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist