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Organization
LISA VALDERUEDA, DMD, INC.
Active
Organization
LISA VALDERUEDA, DMD, INC.
Active
Other names
Lisa Valderueda, DMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MAE VALDERUEDA DMD (PRESIDENT)
(808) 676-5711
Entity
Organization
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Mailing address
94-229 WAIPAHU DEPOT ST STE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1525
HI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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