| Staphe T. Fujimoto, D.d.s., Inc. | |
|
95-720 Lanikuhana Ave 230 Mililani HI 96789-2985 | |
| (808) 625-6333 | |
| (808) 625-6640 |
| Full Name | Staphe T. Fujimoto, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95-720 Lanikuhana Ave, Mililani, Hawaii |
| Authorized Official Name and Position | Staphe T. Fujimoto (PRESIDENT) |
| Authorized Official Contact | 8086256333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staphe T. Fujimoto, D.d.s., Inc. 95-720 Lanikuhana Ave 230 Mililani HI 96789-2985 Ph: (808) 625-6333 | Staphe T. Fujimoto, D.d.s., Inc. 95-720 Lanikuhana Ave 230 Mililani HI 96789-2985 Ph: (808) 625-6333 |
| NPI Number | 1083847669 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083847669 | NPI | - | NPPES |
| 805457 | Other | UNITED CONCORDIA | |
| C0021406 | Other | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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