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Takata Dental Health Center, Inc.

Takata Dental Health Center, Inc. is a health care provider in Hilo, HI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 445 Waianuenue Ave, Hilo, HI 96720-2535, US
Practice Location Phone808-935-3351
Practice Location Fax
Legal Business NameTAKATA DENTAL HEALTH CENTER, INC.
NPI ?1285785824
Entity TypeOrganization
Enumeration Date ? Jan 12, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Takata Dental Health Center, Inc.

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 2068Hawaii
DentistGeneral Practice 991Hawaii
DentistPediatric Dentistry 751Hawaii
DentistPediatric Dentistry 2102Hawaii

legacy-id-icon Legacy Provider IDs of Takata Dental Health Center, Inc.

Provider IdIssuer StateIssuer TypeIssuer
51866501HawaiiMedicaid

official-icon Authorized Official of Takata Dental Health Center, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Takata Dental Health Center, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ellsworth H Takata (D.D.S.)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number808-935-3351