MEDICARE: DR. LLOYD YOSHIO UTO DDS

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	122300000X	Dentist	868	HI

General Provider Information

NPI Number	:	1750393658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LLOYD YOSHIO UTO DDS

Provider Business Mailing Address
First Line	:	850 W HIND DR
Second Line	:	SUITE #206
City	:	HONOLULU
State	:	HI
Zip	:	96821-1855
Country	:	US
Telephone Number	:	808-377-5266
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W HIND DR
Second Line	:	SUITE #206
City	:	HONOLULU
State	:	HI
Zip	:	96821-1855
Country	:	US
Telephone Number	:	808-377-5266
Fax Number	:

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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