Provider Demographics
NPI:1891823464
Name:SATO, RIICHIRO
Entity Type:Individual
Prefix:DR
First Name:RIICHIRO
Middle Name:
Last Name:SATO
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 1:1441 KAPIOLANI BLVD.
Mailing Address - Street 2:SUITE #722
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4404
Mailing Address - Country:US
Mailing Address - Phone:808-943-9338
Mailing Address - Fax:808-943-9388
Practice Address - Street 1:1441 KAPIOLANI BLVD.
Practice Address - Street 2:SUITE #722
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4404
Practice Address - Country:US
Practice Address - Phone:808-943-9338
Practice Address - Fax:808-943-9388
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-17361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice