| Kikuko Hirayama Dmd, Llc | |
|
745 Boylston St Ste 403 Boston MA 02116-2636 | |
| (617) 859-7107 | |
| Not Available |
| Full Name | Kikuko Hirayama Dmd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 745 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Kikuko Hirayama (OWNER) |
| Authorized Official Contact | 6178597107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kikuko Hirayama Dmd, Llc 745 Boylston St Ste 403 Boston MA 02116-2636 Ph: (617) 859-7107 | Kikuko Hirayama Dmd, Llc 745 Boylston St Ste 403 Boston MA 02116-2636 Ph: (617) 859-7107 |
| NPI Number | 1952719163 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952719163 | NPI | - | NPPES |
| 1407956444 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18401 (Massachusetts) | Primary |
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