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General NPI Number Information
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NPI Number | 1083732242
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Entity Type | Organization
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Legal Business Name | DAVID T. OHARA D.D.S., INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 94-889 WAIPAHU ST STE 105
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City | WAIPAHU
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State | HI
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Zip | 96797-3352
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Country | US
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Telephone | 808-677-4508
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Fax | 808-676-1805
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | AIEA
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State | HI
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Zip | 96701-0938
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Country | US
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Telephone | 808-677-4508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID T OHARA
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Credential | DDS
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Telephone | 808-677-4508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DT-1742
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License Number State | HI
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