Individual
HARVEY TSUTOMA MISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
Update your record
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