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Kikuko Hirayama Dmd, Llc
Pediatric Dentist in Boston, Massachusetts
NPI 1952719163

Kikuko Hirayama Dmd, Llc is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Kikuko Hirayama Dmd, Llc practices in Boston, MA. The NPI Number for Kikuko Hirayama Dmd, Llc is 1952719163 and holds a License No. 18401 (Massachusetts).

The current practice location address for Kikuko Hirayama Dmd, Llc is 745 Boylston St, Boston, MA and can be reached out via phone at 617-859-7107.

Location: 745 Boylston St, Boston, MA, 02116-2636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952719163
Provider Name
Kikuko Hirayama Dmd, Llc
Credential
Provider Entity Type
Organization
Address
745 Boylston St, Boston, MA, 02116-2636
Phone Number
617-859-7107
Fax Number
Provider Enumeration Date
07/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407956444 01 NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
745 Boylston St
City
Boston
State
Massachusetts
Zip
02116-2636
Phone Number
617-859-7107
Fax Number
person
Provider Business Mailing Address Details
Address
745 Boylston St
City
Boston
State
Massachusetts
Zip
02116-2636
Phone Number
617-859-7107
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18401 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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