| Shirley S. Hirayama Dds | |
|
2117 Foothill Blvd Ste C La Verne CA 91750-2902 | |
| (909) 593-7171 | |
| (909) 593-7603 |
| Full Name | Shirley S. Hirayama Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2117 Foothill Blvd Ste C, La Verne, California |
| Authorized Official Name and Position | Shirley S. Hirayama (MANAGER) |
| Authorized Official Contact | 9095937171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley S. Hirayama Dds 2117 Foothill Blvd Ste C La Verne CA 91750-2902 Ph: (909) 593-7171 | Shirley S. Hirayama Dds 2117 Foothill Blvd Ste C La Verne CA 91750-2902 Ph: (909) 593-7171 |
| NPI Number | 1649788696 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649788696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32093 (California) | Primary |
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