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.
|Practice Location|| 445 Waianuenue Ave, Hilo, HI 96720-2535, US |
|Practice Location Phone||808-935-3351|
|Practice Location Fax|
|Legal Business Name||TAKATA DENTAL HEALTH CENTER, INC.|
|Enumeration Date ? ||Jan 12, 2007|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Takata Dental Health Center, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice ||2068||Hawaii|
|Dentist||Dental Providers||General Practice ||991||Hawaii|
|Dentist||Dental Providers||Pediatric Dentistry ||751||Hawaii|
|Dentist||Dental Providers||Pediatric Dentistry ||2102||Hawaii|
Legacy Provider IDs of Takata Dental Health Center, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESIDENT|
|Authorized Official Phone Number||808-935-3351|