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Individual

DR. DENNIS PAUL ITOGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 KUNEHI ST APT 205, KAPOLEI, HI 96707-2069
(808) 674-6641
(808) 504-5442
Mailing address
888 KAPIOLANI BLVD APT 2908, HONOLULU, HI 96813-6045
(808) 352-7911

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1716
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26-4490603
HI
Enumeration date
07/17/2018
Last updated
07/17/2018
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