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Organization
KAILUA FAMILY DENTAL LLC
Active
Organization
KAILUA FAMILY DENTAL LLC
Active
Other names
Mino'aka Dental of Kailua
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON AJAYI JOHNSON DDS (OWNER/DENTIST)
(650) 302-7086
Entity
Organization
Contact information
Practice address
407 ULUNIU ST STE 114, KAILUA, HI 96734-2531
(808) 261-5951
Mailing address
1379 MANU ALOHA ST, KAILUA, HI 96734-4375
(650) 302-7086
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/16/2024
Last updated
12/11/2024
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