Provider Demographics
NPI:1295837870
Name:THOMAN, CARA TOKUDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:TOKUDA
Last Name:THOMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:TOKUDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:1580 MAKALOA ST STE 844
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3220
Mailing Address - Country:US
Mailing Address - Phone:808-943-0288
Mailing Address - Fax:808-941-4836
Practice Address - Street 1:1580 MAKALOA ST STE 844
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3220
Practice Address - Country:US
Practice Address - Phone:808-943-0288
Practice Address - Fax:808-941-4836
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1738122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist