Individual
DR. GARY T ODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
91-791 PAPIPI RD, SUITE 1, EWA BEACH, HI 96706-2437
(808) 689-7966
(808) 689-0966
Mailing address
91-791 PAPIPI RD, SUITE 1, EWA BEACH, HI 96706-2437
(808) 689-7966
(808) 689-0966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1281
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371601
—
HI
Enumeration date
09/26/2006
Last updated
07/08/2007
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