Provider Demographics
NPI:1538262514
Name:MILTON M OSHIRO DMD INC
Entity type:Organization
Organization Name:MILTON M OSHIRO DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:MORIO
Authorized Official - Last Name:OSHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-488-1988
Mailing Address - Street 1:98 1247 KAAHUMANU ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5201
Mailing Address - Country:US
Mailing Address - Phone:808-488-1988
Mailing Address - Fax:808-487-3044
Practice Address - Street 1:98 1247 KAAHUMANU ST
Practice Address - Street 2:SUITE 315
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5201
Practice Address - Country:US
Practice Address - Phone:808-488-1988
Practice Address - Fax:808-487-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI810122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty