Individual
DR. ALEXANDER TARASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4211 WAIALAE AVE, STE 111, HONOLULU, HI 96816-5319
(808) 732-4377
Mailing address
3270 WAIALAE AVE, HONOLULU, HI 96816-5836
(808) 732-4377
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
61395
CA
1223P0700X
Prosthodontics
Primary
DT-2628
HI
Other
Enumeration date
10/13/2011
Last updated
02/07/2019
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