Individual
SHOGO MAEKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL15044
MA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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