Organization
ALEX MATSUMOTO DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX AKIO MATSUMOTO DMD (OWNER)
(808) 284-1493
Entity
Organization
Contact information
Practice address
91-902 FORT WEAVER RD STE 208, EWA BEACH, HI 96706-2261
(808) 689-7964
Mailing address
2916 PAHOEHOE PL, HONOLULU, HI 96817-1413
(808) 284-1493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT2716
HI
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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