Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Matsuura

Individual provider General Practice Dentistry · NPI 1386064079

Grant Matsuura is a General Practice Dentistry in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

714 Triverton Ave
Los Angeles, CA 90095-0001
Phone: (310) 206-3904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 112852 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386064079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2014
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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