Provider Demographics
NPI:1972027621
Name:KAMURA, YASUHIKO (DDS)
Entity Type:Individual
Prefix:DR
First Name:YASUHIKO
Middle Name:
Last Name:KAMURA
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 1:9600 GAYLORD PKWY APT 1407
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6140
Mailing Address - Country:US
Mailing Address - Phone:917-209-4952
Mailing Address - Fax:
Practice Address - Street 1:601 W FM 544 STE 103
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4236
Practice Address - Country:US
Practice Address - Phone:469-215-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics