Provider Demographics
NPI:1073912523
Name:SUZUKI, HIROKO MAEHARA (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:HIROKO
Middle Name:MAEHARA
Last Name:SUZUKI
Suffix:
Gender:F
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 HEDGCOXE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3145
Mailing Address - Country:US
Mailing Address - Phone:469-814-8211
Mailing Address - Fax:469-814-8028
Practice Address - Street 1:2120 HEDGCOXE RD STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3145
Practice Address - Country:US
Practice Address - Phone:469-814-8211
Practice Address - Fax:469-814-8028
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63232122300000X
TX32414122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist