DR. Derek H. Ichimura, D.M.D

NPI #1659432995 in Aiea, Hawaii

Provider Information

NPI Number: 1659432995
Entity Type: Individual
Name: DR. Derek H. Ichimura, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 98-1247 KAAHUMANU ST STE 215
City: Aiea
State: Hawaii
ZIP Code: 96701-5310
Phone: (808) 484-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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