Individual
DR. BERWYN YOSHIO ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 KAPIOLANI BLVD, SUITE 1400, HONOLULU, HI 96814-3801
(808) 947-8888
(808) 946-6638
Mailing address
1600 KAPIOLANI BLVD, SUITE 1400, HONOLULU, HI 96814-3801
(808) 947-8888
(808) 946-6638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 1809
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT 1809
HAWAII STATE LICENSE
HI
Enumeration date
06/24/2009
Last updated
06/24/2009
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