Individual
DR. BLAKE C ISHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1401 S BERETANIA ST STE 480, HONOLULU, HI 96814-1870
(808) 597-1221
Mailing address
1401 S BERETANIA ST STE 480, HONOLULU, HI 96814-1870
(808) 597-1221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT 2409
HI
Other
Enumeration date
08/11/2010
Last updated
09/07/2012
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