| Glenn Y. Takaki Dds Llc | |
|
98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 | |
| (808) 487-1554 | |
| (877) 420-4686 |
| Full Name | Glenn Y. Takaki Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 98-211 Pali Momi St, Aiea, Hawaii |
| Authorized Official Name and Position | Glenn Takaki (CEO) |
| Authorized Official Contact | 8083523134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Y. Takaki Dds Llc 98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 Ph: (808) 487-1554 | Glenn Y. Takaki Dds Llc 98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 Ph: (808) 487-1554 |
| NPI Number | 1093166407 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093166407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT2107 (Hawaii) | Primary |
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