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General NPI Number Information
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NPI Number | 1871621656
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Entity Type | Individual
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Provider Name | BRUCE YASUO TODOKI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 1100 WARD AVE SUITE 815
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City | HONOLULU
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State | HI
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Zip | 96814-1600
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Country | US
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Telephone | 808-532-2055
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Fax | 808-537-1526
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Provider Business Mailing Address
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Address Line | 1100 WARD AVE SUITE 815
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City | HONOLULU
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State | HI
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Zip | 96814-1600
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Country | US
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Telephone | 808-532-2055
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Fax | 808-537-1526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DT1456
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License Number State | HI
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