David Ichimura, D.D.S

NPI 1417082041 · on the registry since 2007 · sole proprietor

Practice

Address: 2400 Moorpark Ave Ste 110
San Jose, CA 95128
Phone: (408) 286-1276
Organisation at this address: Aaci
Acci/Cst
Pace Clinic
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 309

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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