Provider Demographics
NPI:1093985905
Name:KOBAYASHI, HIROMI (DDS,MSD)
Entity Type:Individual
Prefix:DR
First Name:HIROMI
Middle Name:
Last Name:KOBAYASHI
Suffix:
Gender:F
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19280 STEVENS CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2504
Mailing Address - Country:US
Mailing Address - Phone:408-253-3180
Mailing Address - Fax:408-253-3182
Practice Address - Street 1:19280 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2504
Practice Address - Country:US
Practice Address - Phone:408-253-3180
Practice Address - Fax:408-253-3182
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468441223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics