Organization
JASON H. IKENO D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON H. IKENO D.D.S. (PRESIDENT)
(808) 676-1520
Entity
Organization
Contact information
Practice address
94-216 FARRINGTON HWY, SUITE 330, WAIPAHU, HI 96797-1922
(808) 676-1520
(808) 676-1921
Mailing address
94-216 FARRINGTON HWY, SUITE 330, WAIPAHU, HI 96797-1922
(808) 676-1520
(808) 676-1921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1819
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24459501
—
HI
Enumeration date
04/26/2007
Last updated
10/01/2009
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