Individual
KENTARO MATSUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 S KING ST STE 206, HONOLULU, HI 96814-1703
(808) 955-4300
Mailing address
1010 S KING ST, #206, HONOLULU, HI 96814-4720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 2617
HI
Other
Enumeration date
08/20/2015
Last updated
07/28/2017
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