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Individual

DR. MILTON MASUO FUJIUCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
91 LANIHULI ST, HILO, HI 96720-4142
(808) 935-9761
Mailing address
91 LANIHULI ST, HILO, HI 96720-4142
(808) 935-9761

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004161
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067297-01
HI
01
A8770-8
HMSA
HI
Enumeration date
08/14/2006
Last updated
07/08/2007
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