Individual
DR. LYNN K. FUJIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
850 KAMEHAMEHA HWY STE 215, PEARL CITY, HI 96782-2603
(808) 455-3888
(808) 455-6180
Mailing address
850 KAMEHAMEHA HWY STE 215, PEARL CITY, HI 96782-2603
(808) 455-3888
(808) 455-6180
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DT 1116
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090020
UNITED CONCORDIA NO.
HI
01
—
1116-01
HDS PROVIDER NO.
HI
05
—
519639-01
—
HI
01
—
5433-8
HMSA PROVIDER NO.
HI
Enumeration date
11/08/2006
Last updated
07/09/2007
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