Individual
DR. JASON HANJI IKENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
94-216 FARRINGTON HWY, B2-309, WAIPAHU, HI 96797-1922
(808) 676-1520
(808) 676-1921
Mailing address
94-216 FARRINGTON HWY, B2-309, WAIPAHU, HI 96797-1922
(808) 676-1520
(808) 676-1921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1819
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24459501
—
HI
Enumeration date
03/01/2007
Last updated
07/08/2007
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