Organization
DOUGLAS S. SHIRAKI, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S. SHIRAKI D.D.S. (PRESIDENT)
(808) 593-2324
Entity
Organization
Contact information
Practice address
1010 S KING ST STE B2, HONOLULU, HI 96814-1775
(808) 593-2324
(808) 596-7947
Mailing address
1010 S KING ST STE B2, HONOLULU, HI 96814-1775
(808) 593-2324
(808) 596-7947
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DT-1457
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457
HAWAII DENTAL SERVICE
HI
01
—
2566-8
HMSA
HI
01
—
836161
UNITED CONCORDIA
PA
Enumeration date
07/23/2012
Last updated
07/23/2012
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