Individual
DR. CARLA CHIEKO FUKUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
321 N KUAKINI ST, SUITE 803, HONOLULU, HI 96817-2364
(808) 536-2196
Mailing address
321 N KUAKINI ST, SUITE 803, HONOLULU, HI 96817-2364
(808) 536-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1441
HI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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