Organization
HIROSHI HIRAYAMA DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIROSHI HIRAYAMA DMD (OWNER)
(617) 536-3054
Entity
Organization
Contact information
Practice address
745 BOYLSTON ST, BOSTON, MA 02116-2636
(617) 536-3054
Mailing address
134 WALNUT HILL RD, NEWTON HIGHLANDS, MA 02461-1837
(617) 536-3054
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18149
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790834463
NPI TYPE 1
MA
Enumeration date
07/31/2014
Last updated
07/31/2014
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