Provider Demographics
NPI:1326394438
Name:RICKY M. TSUHAKO D.D.S., INC.
Entity type:Organization
Organization Name:RICKY M. TSUHAKO D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:M
Authorized Official - Last Name:TSUHAKO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-484-2051
Mailing Address - Street 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5311
Mailing Address - Country:US
Mailing Address - Phone:808-484-2051
Mailing Address - Fax:808-671-0424
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:SUITE 302
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-484-2051
Practice Address - Fax:808-671-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1458122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty