| Blake Ishikawa, Llc | |
|
410 Kilani Ave #221 Wahiawa HI 96786-1844 | |
| (808) 622-4354 | |
| Not Available |
| Full Name | Blake Ishikawa, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 410 Kilani Ave, Wahiawa, Hawaii |
| Authorized Official Name and Position | Blake C Ishikawa (ENDODONTIST) |
| Authorized Official Contact | 8085610955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Ishikawa, Llc 3566 Trousseau St Honolulu HI 96815-4353 Ph: (808) 561-0955 | Blake Ishikawa, Llc 410 Kilani Ave #221 Wahiawa HI 96786-1844 Ph: (808) 622-4354 |
| NPI Number | 1962871483 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962871483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DT2409 (Hawaii) | Primary |
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