Individual
DR. BRYAN ICHIRO NISHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1300 PALI HIGHWAY, SUITE 207, HONOLULU, HI 96813
(808) 536-7449
Mailing address
1300 PALI HIGHWAY, SUITE 207, HONOLULU, HI 96813
(808) 536-7449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
996
HI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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