Michael Conrad Izumi DDS

NPI 1063628477 - Dentist - 1223G0001X

NPI Details
NPI 1063628477
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1123 11TH AVE STE 204
HONOLULU HI, 96816-2433, US
Phone (808) 737-8060
Fax (808) 732-7043
Business Location
1123 11TH AVE STE 204
HONOLULU HI, 96816-2433, US
Phone (808) 737-8060
Fax (808) 732-7043
Toxanomy
Taxonomy Code 1223G0001X
License State Hawaii
License Number 1577
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According to our database, Dr. Michael Conrad Izumi DDS NPI is 1063628477, taxonomy code is 1223G0001X and license number is 1577, license state is located at Hawaii. Michael Conrad Izumi DDS physically located at 1123 11th Ave Ste 204, Honolulu HI, 96816-2433. NPI Number Michael Conrad Izumi DDS has the Individual type.

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1063628477 NPI number is provided on an as is basis without warranty of any kind. 1063628477 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Conrad Izumi DDS are for informational purposes only.