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Individual

DR. GEORGE SHIZUTO ATEBARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
275 PONAHAWAI ST, SUITE 101, HILO, HI 96720-3074
(808) 935-8152
Mailing address
275 PONAHAWAI ST, SUITE 101, HILO, HI 96720-3074
(808) 935-8152

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
432
HI

Other

Enumeration date
09/16/2008
Last updated
09/16/2008
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