Individual
DR. MARK MAKOTO TASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PHD INC
Contact information
Practice address
725 KAPIOLANI BLVD, STE C-102, HONOLULU, HI 96813
(808) 596-0000
(808) 596-0771
Mailing address
725 KAPIOLANI BLVD, STE C-102, HONOLULU, HI 96813
(808) 596-0000
(808) 596-0771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1670
HI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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