Organization
TOKUNAGA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODESTA GAERLAN-TOKUNAGA DDS (OWNER)
(808) 689-7964
Entity
Organization
Contact information
Practice address
91-902 FORT WEAVER RD STE 208, EWA BEACH, HI 96706-2261
(808) 689-7964
(808) 689-0909
Mailing address
91-902 FORT WEAVER RD STE 208, EWA BEACH, HI 96706-2261
(808) 689-7964
(808) 689-0909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DT 1529
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041315
—
HI
Enumeration date
11/01/2006
Last updated
08/22/2020
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