Provider Demographics
NPI:1003966243
Name:YLARDE, ROLAND JB (DDS)
Entity type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:JB
Last Name:YLARDE
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 1:634 KALIHI ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4000
Mailing Address - Country:US
Mailing Address - Phone:808-847-1888
Mailing Address - Fax:808-847-2265
Practice Address - Street 1:634 KALIHI ST STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4000
Practice Address - Country:US
Practice Address - Phone:808-847-1888
Practice Address - Fax:808-847-2265
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI15501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice