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Individual

DR. KERRY S. ISHIHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
810 KILANI AVE, SUITE A, WAHIAWA, HI 96786-2044
(808) 621-8281
(808) 621-8281
Mailing address
810 KILANI AVE, SUITE A, WAHIAWA, HI 96786-2044
(808) 621-8281
(808) 621-8281

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HI1333
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02828801
HI
Enumeration date
08/29/2006
Last updated
07/08/2007
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