ELLSWORTH TAKATA JR., D.D.S.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1306996939
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 751 (HI) |
Frequently Asked Questions
NPI 1306996939 is the National Provider Identifier for ELLSWORTH TAKATA JR., D.D.S., a Dentist - Pediatric Dentistry provider located in Hilo, HI. This NPI was enumerated on January 12, 2007.
ELLSWORTH TAKATA JR., D.D.S. practices at 445 WAIANUENUE AVE, Hilo, HI 96720.
Quick Facts
- NPI
- 1306996939
- Type
- Individual
- Enumerated
- Jan 12, 2007
- Last Updated
- Jul 8, 2007
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