Search › Massachusetts › 103TB0200X
Diana Hearst Ikeda, PH.D
NPI 1124146717 · on the registry since 2007 · sole proprietor
Practice
- Address
- 20 Tremont St
Suite 12 A
Duxbury, MA 02332 - Phone
- (781) 934-6390
- Fax
- (781) 934-9991
- Organisation at this address
- Medigroup Pc
Kun Zhao, Dmd, Pllc
Marjorie G. Welsh, Llc.
Priti Beniwal D.M.D, Llc
Robert N. Ulseth, Md, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 101YA0400X
101YM0800X
103T00000X
103TA0400X
103TA0700X
103TC0700X
103TC1900X
103TC2200X
103TF0000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts