Individual
DR. BRYAN M ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
670 PONAHAWAI ST STE 219, HILO, HI 96720-2660
(808) 935-7555
Mailing address
670 PONAHAWAI ST STE 219, HILO, HI 96720-2660
(808) 935-7555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1545
HI
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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