Provider Demographics
NPI:1295865756
Name:TSUKANO, BYRON (DDS)
Entity Type:Individual
Prefix:
First Name:BYRON
Middle Name:
Last Name:TSUKANO
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 1:1371 LOWER MAIN STREET
Mailing Address - Street 2:UNIT 5
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1961
Mailing Address - Country:US
Mailing Address - Phone:808-243-2277
Mailing Address - Fax:808-242-4466
Practice Address - Street 1:1371 LOWER MAIN ST
Practice Address - Street 2:UNIT 5
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1945
Practice Address - Country:US
Practice Address - Phone:808-243-2277
Practice Address - Fax:808-242-4466
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT17891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice