# KIDSHINE KAPOLEI LLC

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

## Provider details

- **NPI number:** 1558839589
- **Authorized official:** JESSI-CHARET MARTIN (HOSPITAL COORDINATOR)
- **Authorized official phone:** (086) 383-3328

## Contact information

- **Practice address:** 590 FARRINGTON HWY UNIT 155, KAPOLEI, HI 96707-2011
- **Practice address phone:** (808) 427-9987
- **Mailing address:** 850 KAMEHAMEHA HWY STE 215, PEARL CITY, HI 96782-2603
- **Mailing address phone:** (808) 638-3332
- **Mailing address fax:** (808) 427-5136

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 11/07/2018