Individual
MRS. MARY JANE D.R. TAKEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 MAKALAPA GATE RD, JBPHH, HI 96860-4479
(808) 473-1880
Mailing address
4323 LAAKEA ST, HONOLULU, HI 96818-1966
(808) 422-4420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1027
HI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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