Healthcare Provider Details

I. General information

NPI: 1467539601
Provider Name (Legal Business Name): BRANDON T. YOKOTA, DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-307 FARRINGTON HWY STE A10
WAIPAHU HI
96797-2500
US

IV. Provider business mailing address

94-307 FARRINGTON HWY STE A10
WAIPAHU HI
96797-2500
US

V. Phone/Fax

Practice location:
  • Phone: 808-671-9166
  • Fax: 808-671-6236
Mailing address:
  • Phone: 808-671-9166
  • Fax: 808-671-6236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDT 2095
License Number StateHI

VIII. Authorized Official

Name: DR. BRANDON YOKOTA
Title or Position: OWNER
Credential: DDS
Phone: 808-671-9166