NPI 1699009977

Mark Y. Shimao, DDS, INC.

Organisation General Practice Dentistry Ewa Beach, HI

Practice location

Address: 91-902 Fort Weaver Rd Suite 201, Ewa Beach, HI 96706-2261
Phone: (808) 689-6900
Fax: (808) 689-8330

Authorised official

Name: Mark Yuji Shimao
Title: Dentist/Owner
Phone: (808) 689-6900

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1694 (HI)

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Registry record

NPI: 1699009977
Entity type: Organization
NPI issued: 19 Sep 2009
Record last updated: 19 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.