Organization
CARL R. YAMAGATA, D.D.S, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R YAMAGATA D.D.S. (PRESIDENT)
(808) 945-7681
Entity
Organization
Contact information
Practice address
2104 S KING ST, HONOLULU, HI 96826-2232
(808) 945-7681
Mailing address
2104 S KING ST, HONOLULU, HI 96826-2232
(808) 945-7681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT630
HI
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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