ELLSWORTH H TAKATA

HILO, HI
NPI1306996939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: HI  751)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- ELLSWORTH H TAKATA D.D.S.
445 WAIANUENUE AVE
HILO, HI 96720-2535
Phone number: 808-935-3351
Mailing Address
-- ELLSWORTH H TAKATA D.D.S.
445 WAIANUENUE AVE
HILO, HI 96720-2535
Phone number:
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