KENNETH T SUMIDA MD INC
Medical Practice at Creekside Dr, Folsom, CA

License number
California A67658
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: KENNETH T SUMIDA MD
Title: PRESIDENT
Phone: (916) 984-4242
Address
Address 2
1641 Creekside Dr STE 100, Folsom, CA 95630
5 Holland STE 101, Irvine, CA 92618
National Provider ID: 1245468222
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH T. SUMIDA, M.D., INC

1641 Creekside Dr STE 100, Folsom, CA 95630

Registration:
Apr 26, 2001
State ID:
C2341357
Business type:
Articles of Incorporation
President:
Kenneth Sumida (President)
Agent:
Kenneth T Sumida,Folsom, CA 95630 (Physical)

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