Individual
DR. LISA YUKIKO SHITAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
141 MAA ST UNIT A, KAHULUI, HI 96732-3603
(808) 242-6605
(808) 242-5819
Mailing address
141 MAA ST UNIT A, KAHULUI, HI 96732-3603
(808) 242-6605
(808) 242-5819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2477
HI
Other
Enumeration date
07/06/2012
Last updated
12/15/2022
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