Individual
DR. MARVIN M. TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1703 WILI PA LOOP STE 200, WAILUKU, HI 96793-1250
(808) 242-9062
(808) 242-9062
Mailing address
1703 WILI PA LOOP STE 200, WAILUKU, HI 96793-1250
(808) 242-9062
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
888
HI
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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