Provider Demographics
NPI:1437217379
Name:IWAOKA, DAVID S
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:IWAOKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-270 WILLIAM HENRY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-5806
Mailing Address - Country:US
Mailing Address - Phone:808-235-5958
Mailing Address - Fax:
Practice Address - Street 1:45-270 WILLIAM HENRY RD
Practice Address - Street 2:SUITE 205
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-5806
Practice Address - Country:US
Practice Address - Phone:808-235-5958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0129237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist