Provider Demographics
NPI:1629105150
Name:YAGI, CELESTE CH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:CH
Last Name:YAGI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1812 HAPAKI ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1632
Mailing Address - Country:US
Mailing Address - Phone:808-779-0594
Mailing Address - Fax:808-484-8193
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:SUITE 801
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4301
Practice Address - Country:US
Practice Address - Phone:808-488-6631
Practice Address - Fax:808-484-8193
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-20141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice