| Kerry S. Ishihara, Dds, Inc. | |
|
810 Kilani Ave Suite A Wahiawa HI 96786-2044 | |
| (808) 621-8281 | |
| (808) 621-8281 |
| Full Name | Kerry S. Ishihara, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 Kilani Ave, Wahiawa, Hawaii |
| Authorized Official Name and Position | Kerry S. Ishihara (GENERAL DENTIST) |
| Authorized Official Contact | 8086218281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry S. Ishihara, Dds, Inc. 810 Kilani Ave Suite A Wahiawa HI 96786-2044 Ph: (808) 621-8281 | Kerry S. Ishihara, Dds, Inc. 810 Kilani Ave Suite A Wahiawa HI 96786-2044 Ph: (808) 621-8281 |
| NPI Number | 1639301419 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639301419 | NPI | - | NPPES |
| 02528801 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HI1333 (Hawaii) | Primary |
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