Individual
DR. WAYNE T MATSUURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98-1247 KAAHUMANU ST, AIEA, HI 96701-5311
(808) 488-1988
Mailing address
95-674 HOLANI ST, MILILANI, HI 96789-2932
(808) 488-1988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1102
HI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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