| Casey Tamashiro Dds, Inc | |
|
1728 Wili Pa Loop Ste 100 Wailuku HI 96793-1284 | |
| (808) 244-6000 | |
| Not Available |
| Full Name | Casey Tamashiro Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1728 Wili Pa Loop Ste 100, Wailuku, Hawaii |
| Authorized Official Name and Position | Casey Tamashiro (PRESIDENT) |
| Authorized Official Contact | 8082446000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Tamashiro Dds, Inc 1728 Wili Pa Loop Ste 100 Wailuku HI 96793-1284 Ph: (808) 244-6000 | Casey Tamashiro Dds, Inc 1728 Wili Pa Loop Ste 100 Wailuku HI 96793-1284 Ph: (808) 244-6000 |
| NPI Number | 1790917417 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790917417 | NPI | - | NPPES |
| 1223G0001X | Other | HI | GENERAL DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT1743 (Hawaii) | Primary |
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