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1013929025
RUSSELL S TABATA
HONOLULU, HI
NPI
1013929025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 772)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL S TABATA dds
1943 S KING ST
HONOLULU, HI 96826-2139
Phone number: 800-946-4939
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Mailing Address
Dr. RUSSELL S TABATA dds
1943 S KING ST
HONOLULU, HI 96826-2139
Phone number: 800-946-4939
Copy
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