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Individual

TRAVIS NISHIOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
719 KAM HWY, PEARL CITY, HI 96782-2709
(808) 455-3485
Mailing address
719 KAM HWY, PEARL CITY, HI 96782-2709
(808) 455-3485

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2776
HI

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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