Individual
DR. JON TOSHIHARU TANABE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1221 KAPIOLANI BLVD, SUITE 515, HONOLULU, HI 96814-3503
(808) 596-0133
Mailing address
1221 KAPIOLANI BLVD, SUITE 515, HONOLULU, HI 96814-3503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1434
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024056-01
—
HI
01
—
1434
HAWAII DENTAL SERVICE
HI
01
—
2674-0
HAWAII MEDICAL SERVICE AS
HI
01
—
803865
UNITED CONCORDIA
HI
Enumeration date
07/11/2005
Last updated
07/08/2007
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