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Organization

MARCY M KAWASAKI DDS

Active
Parent organization
MARCY M KAWASAKI DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARCY M KAWASAKI DDS
Authorized official
DR. MARCY M KAWASAKI DDS (DENTIST)
(808) 430-0740
Entity
Organization

Contact information

Practice address
91 LANIHULI ST, HILO, HI 96720-7202
(808) 430-0740
Mailing address
91 LANIHULI ST, HILO, HI 96720-7202
(808) 430-0740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1293
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DT-1293
HAWAII LICENCE
HI
Enumeration date
01/20/2015
Last updated
01/20/2015
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