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Oral Surgery, Dental Specialists

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DOUGLAS S. SHIRAKI, D.D.S., INC.

Dental Care Facilities

Honolulu, Hawaii

Provider NPI: 1023363421

Organization Information:
Organization Name:  DOUGLAS S. SHIRAKI, D.D.S., INC.
Organization is not Subpart
Authorized Official:  DOUGLAS S. SHIRAKI  PRESIDENT  808-5932324

Practice Location:
1010 S KING ST STE B2  HONOLULU, HI 96814 US
Tel: 808-593-2324  Fax: 808-596-7947

Business Mailing Address:
1010 S KING ST STE B2  HONOLULU, HI 96814 US
Tel: 808-593-2324  Fax: 808-596-7947

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
HIDT-1457

Other Provider Identifiers:

IssuerNumberStateType
HAWAII DENTAL SERVICE1457HI01
HMSA2566-8HI01
UNITED CONCORDIA836161PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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