Individual
MODESTA GAERLAN-TOKUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
94-307 FARRINGTON HWY STE A10, WAIPAHU, HI 96797-2500
(808) 671-9166
(808) 671-6236
Mailing address
94-307 FARRINGTON HWY STE A10, WAIPAHU, HI 96797-2500
(808) 671-9166
(808) 671-6236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 1529
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041315
—
HI
Enumeration date
11/03/2006
Last updated
07/08/2007
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