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Individual

TAKAYO HATAKEYAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
230 E 48TH ST, SUITE 1C, NEW YORK, NY 10017-1509
(212) 486-8670
(347) 427-2649
Mailing address
230 E 48TH ST, SUITE 1C, NEW YORK, NY 10017-1509
(212) 486-8670
(347) 427-2649

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042090
NY
1223P0300X
Periodontics
13829
MD

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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