Individual
BRENT SHIGEOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1000 KAMEHAMEHA HWY STE 235, PEARL CITY, HI 96782-2882
(808) 456-5953
(808) 455-4453
Mailing address
1000 KAMEHAMEHA HWY STE 235, PEARL CITY, HI 96782-2882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1398
HI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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