Individual
CARALYN TAKATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON ROAD, HONOLULU, HI 96819
(808) 433-0580
Mailing address
459 PATTERSON ROAD (160), HONOLULU, HI 96819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2795
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
07/01/2024
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