Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 20426 | MA |
NPI | 1215117213 |
---|---|
Provider Name | Dr. Kumiko Kamachi |
First Address | Charlestown, MA 02129-4226 |
Second Address | Boston, MA 02199-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2007 |
Last Update Date | 04/11/2021 |