MEDICARE: DR. ALAN KOICHI YOSHIDA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	1120	HI

General Provider Information

NPI Number	:	1043287105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN KOICHI YOSHIDA D.D.S.

Provider Business Mailing Address
First Line	:	1001 BISHOP ST
Second Line	:	#350 PAUAHI TOWER
City	:	HONOLULU
State	:	HI
Zip	:	96813-3429
Country	:	US
Telephone Number	:	808-537-4404
Fax Number	:	808-599-4977

Provider Business Practice Location Address
First Line	:	1001 BISHOP ST
Second Line	:	#350 PAUAHI TOWER
City	:	HONOLULU
State	:	HI
Zip	:	96813-3429
Country	:	US
Telephone Number	:	808-537-4404
Fax Number	:	808-599-4977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/08/2007

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