Individual
SHIGUERU YOKOYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
586 TIEMONT ST, BOSTON, MA 02118
(617) 267-3334
(617) 450-0656
Mailing address
71 ORCHARD ST, MEDFORD, MA 02155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276642
—
MA
Enumeration date
02/15/2007
Last updated
07/08/2007
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