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Search › California › General Practice Dentistry

Grant Matsuura

NPI 1386064079 · on the registry since 2014 · sole proprietor

Practice

Address
714 Triverton Ave
Los Angeles, CA 90095
Phone
(310) 206-3904

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California