Provider Demographics
NPI:1326277500
Name:GAERLAN-TOKUNAGA, DDS, INC
Entity Type:Organization
Organization Name:GAERLAN-TOKUNAGA, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURAKAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-671-9166
Mailing Address - Street 1:94-307 FARRINGTON HWY STE A10
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2500
Mailing Address - Country:US
Mailing Address - Phone:808-671-9166
Mailing Address - Fax:
Practice Address - Street 1:94-307 FARRINGTON HWY STE A10
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2500
Practice Address - Country:US
Practice Address - Phone:808-671-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1529305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization