Provider Demographics
NPI:1780849885
Name:MASUNAGA, HAROLD H (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:H
Last Name:MASUNAGA
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 1:960 CENTER ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2038
Mailing Address - Country:US
Mailing Address - Phone:808-622-1116
Mailing Address - Fax:
Practice Address - Street 1:960 CENTER ST STE 3
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2038
Practice Address - Country:US
Practice Address - Phone:808-622-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice