Individual
DR. STAPHE T FUJIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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