Individual
DR. KRISTA ANN HIRASUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2720 EDISON ST, SAN MATEO, CA 94403-2458
(650) 574-4444
Mailing address
2720 EDISON STREET, SAN MATEO, CA 94403
(650) 574-4444
(650) 574-4441
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58958
CA
Other
Enumeration date
12/14/2012
Last updated
10/13/2015
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