Individual
DR. RYAN TORU TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1253 MAKALAPA GATE RD, JBPHH, HI 96860-4479
(808) 473-1880
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 417-4242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101990
CA
Other
Enumeration date
09/01/2014
Last updated
02/10/2020
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