Organization
RUSSELL K TASAKA, DMD
Active
Parent organization
RUSSELL K TASAKA, DMD
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL K TASAKA, DMD
Authorized official
RUSSELL K TASAKA DMD (OWNER)
(808) 737-9032
Entity
Organization
Contact information
Practice address
3221 WAIALAE AVE, STE 376, HONOLULU, HI 96816-5842
(808) 737-9032
Mailing address
2024 N KING ST, 107, HONOLULU, HI 96819-3456
(808) 841-7944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1612
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841308723
—
HI
Enumeration date
02/19/2013
Last updated
02/19/2013
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