Doctor Name: | MS. SATOMI HIRAI |
NPI Number: | 1053412098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.D. |
License Number: | 0000258 |
Business Practice Address: | 10137 Main St Suite 7 Bothell, WA - 980113422 |
Business Phone Number: | 4254834643 |
Business Fax Number: | 4254831493 |
Mailing Address: | 10137 Main St, Suit 7 BOTHELL |
State: | WA |
Postal Code: | 980113422 |
Phone Number: | 4254834643 |
Fax Number: | 4254831493 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 122400000X |
License Number: | 0000258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Denturist |
Taxonomy Specialization: | |
Taxonomy Definition: |