Dr. Jason Hanji Ikeno, d.d.s.
Dentist, General Practice in Waipahu, HI. Individual provider (NPI-1).
NPI number1013045954
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013045954
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Hanji Ikeno
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | dt-1819 | HI | Yes |
Practice location
94-216 Farrington HwyB2-309
Waipahu, HI 96797-1922
Phone 808-676-1520 · Fax 808-676-1921
Mailing address
94-216 Farrington HwyB2-309
Waipahu, HI 96797-1922
Phone 808-676-1520 · Fax 808-676-1921
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