Organization
STAPHE T. FUJIMOTO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAPHE T. FUJIMOTO D.D.S. (PRESIDENT)
(808) 625-6333
Entity
Organization
Contact information
Practice address
95-720 LANIKUHANA AVE, 230, MILILANI, HI 96789-2985
(808) 625-6333
(808) 625-6640
Mailing address
95-720 LANIKUHANA AVE, 230, MILILANI, HI 96789-2985
(808) 625-6333
(808) 625-6640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805457
UNITED CONCORDIA
—
01
—
C0021406
HMSA
—
Enumeration date
08/28/2009
Last updated
08/28/2009
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