Organization
CASEY TAMASHIRO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY TAMASHIRO (PRESIDENT)
(808) 244-6000
Entity
Organization
Contact information
Practice address
1728 WILI PA LOOP STE 100, WAILUKU, HI 96793-1284
(808) 244-6000
Mailing address
1728 WILI PA LOOP STE 100, WAILUKU, HI 96793-1284
(808) 244-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1743
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL DENTISTRY
HI
Enumeration date
08/13/2009
Last updated
08/13/2009
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