# KAILUA FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mino'aka Dental of Kailua
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316774177
- **Authorized official:** DR. LEON AJAYI JOHNSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (650) 302-7086

## Contact information

- **Practice address:** 407 ULUNIU ST STE 114, KAILUA, HI 96734-2531
- **Practice address phone:** (808) 261-5951
- **Mailing address:** 1379 MANU ALOHA ST, KAILUA, HI 96734-4375
- **Mailing address phone:** (650) 302-7086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 12/11/2024