Individual
DR. KEN MATSUO YAMASHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1142 KINOOLE ST, 1142 KINOOLE ST, HILO, HI 96720-4132
(808) 961-3911
(808) 933-9293
Mailing address
1142 KINOOLE ST, 1142 KINOOLE ST, HILO, HI 96720-4132
(808) 961-3911
(808) 933-9293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1110
HI
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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