Organization
ISLAND ENDODONTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY S. MATSUMOTO DMD (OWNER)
(808) 955-8778
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD, SUITE 820, HONOLULU, HI 96814-4402
(808) 955-8778
(808) 955-8776
Mailing address
1441 KAPIOLANI BLVD, SUITE 820, HONOLULU, HI 96814-4402
(808) 955-8778
(808) 955-8776
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
925
HI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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