Individual
DR. DAVID HARUO OTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 W HIND DR, SUITE 115, HONOLULU, HI 96821-1855
(808) 373-9895
(808) 373-9651
Mailing address
850 W HIND DR, SUITE 115, HONOLULU, HI 96821-1855
(808) 373-9895
(808) 373-9651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
883
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883
DENTAL LICENSE
HI
Enumeration date
12/13/2006
Last updated
07/08/2007
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