Organization
RUSSELL K TASAKA, DMD
Active
Other names
Kalihi Center for Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA P SMAU (OFFICE MANAGER)
(808) 737-9032
Entity
Organization
Contact information
Practice address
2024 N KING ST, 107, HONOLULU, HI 96819-3456
(808) 841-7944
(808) 841-7945
Mailing address
2024 N KING ST, 107, HONOLULU, HI 96819-3456
(808) 841-7944
(808) 841-7945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1612
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056033-01
—
HI
Enumeration date
08/23/2016
Last updated
08/23/2016
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