| NPI | 1952719163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIKUKO HIRAYAMA Owner 617-859-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18401) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |