Organization
ISLAND DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE NOBORU TAMURA D.D.S. (PRESIDENT/OWNER)
(808) 484-4470
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 214, AIEA, HI 96701-5311
(808) 484-4470
(808) 484-4462
Mailing address
98-1247 KAAHUMANU ST, SUITE 214, AIEA, HI 96701-5311
(808) 484-4470
(808) 484-4462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT 1744
HI
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/12/2015
Last updated
04/12/2016
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