Individual
HARVEY TSUTOMA MISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 WESTERVELT STREET, WAHIAWA, HI 96786-1929
(808) 621-8677
(808) 621-7537
Mailing address
133 WESTERVELT STREET, WAHIAWA, HI 96786-1929
(808) 621-8677
(808) 621-7537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1419
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
791890
UNITED CONCORDIA
—
01
—
B23420
HI MEDICAL SERVICE ASSOC.
HI
05
—
B23420
—
HI
Enumeration date
08/29/2006
Last updated
07/08/2007
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