Provider Demographics
NPI:1336278704
Name:NUNOKAWA, CRAIG VERNON (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:VERNON
Last Name:NUNOKAWA
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 1:1885 MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1819
Mailing Address - Country:US
Mailing Address - Phone:808-244-3986
Mailing Address - Fax:808-244-5742
Practice Address - Street 1:1885 MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1819
Practice Address - Country:US
Practice Address - Phone:808-244-3986
Practice Address - Fax:808-244-5742
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI22591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice