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Individual

BEN T. KAWASAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,MSD

Contact information

Practice address
321 N KUAKINI ST STE 804, HONOLULU, HI 96817-2362
(808) 521-1896
(808) 533-6443
Mailing address
321 N KUAKINI ST STE 804, HONOLULU, HI 96817-2362
(808) 521-1896
(808) 533-6443

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
991
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046397-04
MEDICAID
HI
01
52720
HAWAIIMEDICALSERVICEASSOC
HI
Enumeration date
01/15/2007
Last updated
07/08/2007
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