Provider Demographics
NPI:1407989122
Name:KIYUNA, ROBERT TOSHIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TOSHIO
Last Name:KIYUNA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:T
Other - Last Name:KIYUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:850 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 155
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782
Mailing Address - Country:US
Mailing Address - Phone:808-455-2344
Mailing Address - Fax:
Practice Address - Street 1:850 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 155
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782
Practice Address - Country:US
Practice Address - Phone:808-455-2344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI678OtherHAWAII DENTAL SERVICE
HI86918OtherHAWAII MEDICAL SERVICE AS