| NPI | 1295461440 |
|---|---|
| Former Name | MOMOKO HARADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901602732) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-09-03 |