DR. Jed P.k. Shitabata, D.M.D.

NPI #1063609451 in Honolulu, Hawaii

Provider Information

NPI Number
1063609451
Entity Type
Individual
Name
DR. Jed P.k. Shitabata, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Sep 28, 2007
Last Updated
Sep 28, 2007

Practice Location

Address
1441 KAPIOLANI BLVD
Address 2
SUITE 602
State
Hawaii
ZIP Code
96814-4402
Phone
(808) 949-1995

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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