Provider Demographics
NPI:1750748265
Name:TOKUMURA, HENNASEA-SUE (DDS)
Entity type:Individual
Prefix:DR
First Name:HENNASEA-SUE
Middle Name:
Last Name:TOKUMURA
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 1:95-221 KIPAPA DR STE 4-B
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1147
Mailing Address - Country:US
Mailing Address - Phone:808-623-2888
Mailing Address - Fax:808-623-2440
Practice Address - Street 1:95-221 KIPAPA DR STE 4-B
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1147
Practice Address - Country:US
Practice Address - Phone:808-623-2888
Practice Address - Fax:808-623-2440
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT2674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist