Healthcare Provider Details

I. General information

NPI: 1326277500
Provider Name (Legal Business Name): GAERLAN-TOKUNAGA, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 07/08/2009
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:
Mailing address:
  • Phone: 808-671-9166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number1529
License Number StateHI

VIII. Authorized Official

Name: MRS. CAROLYN KURAKAKE
Title or Position: OFFICE MANAGER
Credential:
Phone: 808-671-9166