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Organization
MISAKO HIROTA DMD A DENTAL CORPORATION
Active
Organization
MISAKO HIROTA DMD A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISAKO HIROTA DMD (OWNER PRESIDENT)
(619) 474-4695
Entity
Organization
Contact information
Practice address
219 E 8TH ST, NATIONAL CITY, CA 91950-2224
(619) 474-4695
(619) 474-2984
Mailing address
219 E 8TH ST, NATIONAL CITY, CA 91950-2224
(619) 474-4695
(619) 474-2984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE35117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92697 01
—
CA
Enumeration date
02/07/2007
Last updated
08/06/2009
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