Provider Demographics
NPI:1215026463
Name:IYOMASA, EMILY NAOMI (DDS)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NAOMI
Last Name:IYOMASA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:NAOMI
Other - Last Name:MURAKAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:92 7087 ELELE STREET
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-781-3121
Mailing Address - Fax:
Practice Address - Street 1:930 VALKENBURGH STREET
Practice Address - Street 2:SUITE 209
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818
Practice Address - Country:US
Practice Address - Phone:808-421-2112
Practice Address - Fax:808-421-2110
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT20631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice