DR. Russell S Tabata, DDS

NPI #1013929025 in Honolulu, Hawaii

Provider Information

NPI Number: 1013929025
Entity Type: Individual
Name: DR. Russell S Tabata, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1943 S KING ST
City: Honolulu
State: Hawaii
ZIP Code: 96826-2139
Phone: (800) 946-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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