Individual
DR. TERRY S MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1441 KAPIOLANI BLVD, SUITE 820, HONOLULU, HI 96814-4402
(808) 955-8778
(808) 955-8776
Mailing address
1441 KAPIOLANI BLVD, SUITE 820, HONOLULU, HI 96814-4402
(808) 955-8778
(808) 955-8776
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
925
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1575781
UNITED CONCORDIA
HI
01
—
J0016483
HMSA
HI
Enumeration date
04/13/2007
Last updated
07/08/2007
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