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Brice H Takata, DDS
Pediatric Dentist in Hilo, Hawaii
NPI 1164572764

Brice H Takata is a Pediatric Dentist based in Hilo, HI and is specialized in Pediatric Dentistry. Brice H Takata practices in Hilo, HI and has the professional credentials of DDS. The NPI Number for Brice H Takata is 1164572764 and holds a License No. 2102 (Hawaii).

The current practice location address for Brice H Takata is 445 Waianuenue Ave, Hilo, HI and can be reached out via phone at 808-935-3351.

Location: 445 Waianuenue Ave, Hilo, HI, 96720-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164572764
Provider Name
Brice H Takata
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
445 Waianuenue Ave, Hilo, HI, 96720-2535
Phone Number
808-935-3351
Fax Number
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25499-5 01 HI HMSA
2102 01 HI HAWAII DENTAL SERVICE
56345201 05 HI
institution
Provider Business Practice Location Address Details
Address
445 Waianuenue Ave
City
Hilo
State
Hawaii
Zip
96720-2535
Phone Number
808-935-3351
Fax Number
person
Provider Business Mailing Address Details
Address
445 Waianuenue Ave
City
Hilo
State
Hawaii
Zip
96720-2535
Phone Number
808-935-3351
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2102 (Hawaii)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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