Provider Demographics
NPI:1043229099
Name:HAMAOKA, AKIRA GLENN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AKIRA
Middle Name:GLENN
Last Name:HAMAOKA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:A.
Other - Middle Name:GLENN
Other - Last Name:HAMAOKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:483 N L ST
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-2114
Mailing Address - Country:US
Mailing Address - Phone:559-591-4421
Mailing Address - Fax:559-591-6640
Practice Address - Street 1:483 N L ST
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2114
Practice Address - Country:US
Practice Address - Phone:559-591-4421
Practice Address - Fax:559-591-6640
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist