Individual
DR. RODNEY NAKANO NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
900 PUNAHOU ST STE 101, HONOLULU, HI 96826-2500
(808) 949-8681
(808) 949-2488
Mailing address
900 PUNAHOU ST STE 101, HONOLULU, HI 96826-2500
(808) 949-8681
(808) 949-2488
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DT-2883
HI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD-22040
HI
Other
Enumeration date
03/11/2015
Last updated
10/04/2021
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