Individual
DR. BLAKE T.K. MATSUURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98-1256 KAAHUMANU ST STE E303, PEARL CITY, HI 96782-3282
(808) 488-1988
Mailing address
98-1256 KAAHUMANU ST STE E303, PEARL CITY, HI 96782-3282
(808) 488-1988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2446
HI
Other
Enumeration date
07/21/2011
Last updated
03/27/2020
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