Organization
BLAKE ISHIKAWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE C ISHIKAWA DDS (ENDODONTIST)
(808) 561-0955
Entity
Organization
Contact information
Practice address
410 KILANI AVE, #221, WAHIAWA, HI 96786-1844
(808) 622-4354
Mailing address
3566 TROUSSEAU ST, HONOLULU, HI 96815-4353
(808) 561-0955
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DT2409
HI
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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