Provider Demographics
NPI:1336125434
Name:SATO, ALAN TAKESHI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:TAKESHI
Last Name:SATO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 1005 MOANALUA ROAD
Mailing Address - Street 2:SUITE 847
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4726
Mailing Address - Country:US
Mailing Address - Phone:808-487-7933
Mailing Address - Fax:808-484-2351
Practice Address - Street 1:98 1005 MOANALUA ROAD
Practice Address - Street 2:SUITE 847
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4726
Practice Address - Country:US
Practice Address - Phone:808-487-7933
Practice Address - Fax:808-484-2351
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI917141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry