Island Dental Group INC

NPI #1295108280 in Aiea, Hawaii

Provider Information

NPI Number: 1295108280
Entity Type: Organization
Organization Name: Island Dental Group INC
Primary Specialty: Dentist
Enumeration Date: Nov 12, 2015
Last Updated: Apr 12, 2016

Practice Location

Address: 98-1247 KAAHUMANU ST
Address 2: SUITE 214
City: Aiea
State: Hawaii
ZIP Code: 96701-5311
Phone: (808) 484-4470

Authorized Official

Name: DR. CLAUDE NOBORU TAMURA, D.D.S.
Title: PRESIDENT/OWNER
Phone: (808) 484-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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