| Hiroshi Hirayama Dmd Llc | |
|
745 Boylston St Boston MA 02116-2636 | |
| (617) 536-3054 | |
| Not Available |
| Full Name | Hiroshi Hirayama Dmd Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 745 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Hiroshi Hirayama (OWNER) |
| Authorized Official Contact | 6175363054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiroshi Hirayama Dmd Llc 134 Walnut Hill Rd Newton Highlands MA 02461-1837 Ph: (617) 536-3054 | Hiroshi Hirayama Dmd Llc 745 Boylston St Boston MA 02116-2636 Ph: (617) 536-3054 |
| NPI Number | 1659789865 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659789865 | NPI | - | NPPES |
| 1790834463 | Other | MA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 18149 (Massachusetts) | Primary |
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