Ellsworth H Takata JR., D.D.S.

NPI #1306996939 in Hilo, Hawaii

Provider Information

NPI Number
1306996939
Entity Type
Individual
Name
Ellsworth H Takata JR., D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jan 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
445 WAIANUENUE AVE
City
Hilo
State
Hawaii
ZIP Code
96720-2535
Phone
(808) 935-3351

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Organizations

Provider Name
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