Organization
SHIRLEY S. HIRAYAMA DDS
Active
Other names
Shirley S. Hirayama DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY S. HIRAYAMA DDS (MANAGER)
(909) 593-7171
Entity
Organization
Contact information
Practice address
2117 FOOTHILL BLVD STE C, LA VERNE, CA 91750-2902
(909) 593-7171
(909) 593-7603
Mailing address
2117 FOOTHILL BLVD STE C, LA VERNE, CA 91750-2902
(909) 593-7171
(909) 593-7603
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32093
CA
Other
Enumeration date
01/11/2018
Last updated
06/16/2018
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