# HAWAII ELITE OMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114816105
- **Authorized official:** KATIE TUNDER (BILLING MANAGER)
- **Authorized official phone:** (877) 667-7669

## Contact information

- **Practice address:** 930 VALKENBURGH ST SPC 206, HONOLULU, HI 96818-3914
- **Practice address phone:** (808) 342-5920
- **Mailing address:** 930 VALKENBURGH ST SPC 206, HONOLULU, HI 96818-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 07/02/2025