Individual
DR. STAPHE T FUJIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95720 LANIKUHANA AVENUE, SUITE 230, MILILANI, HI 96789
(808) 625-6333
(808) 625-6640
Mailing address
95720 LANIKUHANA AVENUE, SUITE 230, MILILANI, HI 96789
(808) 625-6333
(808) 625-6640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1386
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805457
UNITED CONCORDIA
—
01
—
C21406
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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