Individual
TYLER TADASHI YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3434 OLD HALEAKALA HWY, MAKAWAO, HI 96768-8510
(808) 572-9111
(808) 572-1444
Mailing address
3434 OLD HALEAKALA HWY, MAKAWAO, HI 96768-8510
(808) 572-9111
(808) 572-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2872
HI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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