Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DT1776 | HI |
NPI | 1003919648 |
---|---|
Provider Name | Dr. Ann Marie Muramoto |
First Address | Kailua Koma, HI 96740 |
Second Address | Kailua Koma, HI 96740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |