Provider Demographics
NPI:1255421707
Name:FUJII, BRYAN RYO (DDS)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:RYO
Last Name:FUJII
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 1:1701 SOLAR DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0134
Mailing Address - Country:US
Mailing Address - Phone:805-983-3552
Mailing Address - Fax:805-983-4269
Practice Address - Street 1:1701 SOLAR DR
Practice Address - Street 2:SUITE 270
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0134
Practice Address - Country:US
Practice Address - Phone:805-983-3552
Practice Address - Fax:805-983-4269
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33698122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist