Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DT1037 | HI |
NPI | 1003971177 |
---|---|
Provider Name | David Akira Tamura |
First Address | Honolulu, HI 96819-4559 |
Second Address | Honolulu, HI 96819-4559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103701 | HDS (01) | HI |
U6804501 | (05) | HI |
Z88527 | HMSA (01) | HI |