Organization
GLENN Y. TAKAKI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN TAKAKI (CEO)
(808) 352-3134
Entity
Organization
Contact information
Practice address
98-211 PALI MOMI ST, SUITE 737, AIEA, HI 96701-4301
(808) 487-1554
(877) 420-4686
Mailing address
98-211 PALI MOMI ST, SUITE 737, AIEA, HI 96701-4301
(808) 487-1554
(877) 420-4686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT2107
HI
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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