MEDICARE: ALAN K. YOSHIDA DDS., INC.

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	1120	HI

General Provider Information

NPI Number	:	1831323781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN K. YOSHIDA DDS., INC.

Provider Business Mailing Address
First Line	:	1003 BISHOP ST
Second Line	:	#350
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-537-4404
Fax Number	:	808-599-4977

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST
Second Line	:	#350
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-537-4404
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN KOICHI YOSHIDA
Credential	:	DDS
Telephone Number	:	808-537-4404

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/06/2009

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