Provider Demographics
NPI:1104836550
Name:HOSAKA, ERICK ARMANDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:ARMANDO
Last Name:HOSAKA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:SUITE 525
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-657-2225
Mailing Address - Fax:301-657-2203
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 525
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-657-2225
Practice Address - Fax:301-657-2203
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD126991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice