Individual
KIKUKO HIRAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
375 CONCORD AVE, SUITE #003, BELMONT, MA 02478-3048
(617) 489-5541
Mailing address
375 CONCORD AVE, SUITE #003, BELMONT, MA 02478-3048
(617) 489-5541
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18401
MA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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