Individual
HIROE BABA OHYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MMSC, PHD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
(617) 432-4258
Mailing address
77 POND AVE APT 905, BROOKLINE, MA 02445-7114
(617) 738-3342
(617) 432-0901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20872
MA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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