Provider Demographics
NPI:1184837270
Name:HAMAKO, RON (DDS)
Entity Type:Individual
Prefix:
First Name:RON
Middle Name:
Last Name:HAMAKO
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 1:10072 FIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:703 WELCH RD
Practice Address - Street 2:SUITE D2
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1710
Practice Address - Country:US
Practice Address - Phone:650-321-3959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice