Individual
DR. MARSHA YASUE IWAHIRO-TANABE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1221 KAPIOLANI BLVD, SUITE 515, HONOLULU, HI 96814-3503
(808) 596-0133
Mailing address
1221 KAPIOLANI BLVD, SUITE 515, HONOLULU, HI 96814-3503
(808) 596-0133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1435
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024045-01
—
HI
01
—
1435
HAWAII DENTAL SERVICE
HI
01
—
2673-2
HAWAII MEDICAL SERVICE AS
HI
01
—
788051
UNITED CONCORDIA
HI
Enumeration date
07/12/2005
Last updated
07/08/2007
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