Healthcare Provider Details

I. General information

NPI: 1003066952
Provider Name (Legal Business Name): RIICHIRO SATO, D.M.D., PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD SUITE 722
HONOLULU HI
96814-4402
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD. SUITE 722
HONOLULU HI
96814-4404
US

V. Phone/Fax

Practice location:
  • Phone: 808-943-9338
  • Fax: 808-943-9388
Mailing address:
  • Phone: 808-943-9338
  • Fax: 808-943-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number01736
License Number StateHI

VIII. Authorized Official

Name: DR. RIICHIRO SATO
Title or Position: PRESIDENT
Credential: D.M.D., PH.D.
Phone: 808-943-9338