Individual
DR. RYOTA KIKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10100
MA
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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