Individual
DR. RUSSELL K TASAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 KAPIOLANI BLVD STE 1425, HONOLULU, HI 96814-3805
(808) 949-2025
Mailing address
3221 WAIALAE AVE, STE 376, HONOLULU, HI 96816
(808) 737-9032
(808) 737-0290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1612
HI
1223G0001X
General Practice Dentistry
Primary
1612
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056033
—
HI
05
—
56033
—
HI
Enumeration date
08/29/2006
Last updated
05/28/2025
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