Individual
JASON C JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1060 YOUNG ST, SUITE 323, HONOLULU, HI 96814-1609
(808) 695-2266
Mailing address
1060 YOUNG ST, SUITE 323, HONOLULU, HI 96814-1609
(808) 695-2266
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DT-2089
HI
Other
Enumeration date
05/21/2007
Last updated
11/03/2008
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