# HIIAKA DENTAL

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

## Provider details

- **NPI number:** 1902648488
- **Authorized official:** ROCIO ESCOBAR BUSTAMANTE DMD (DMD)
- **Authorized official phone:** (502) 553-6419

## Contact information

- **Practice address:** 1001 KAMOKILA BLVD STE 157, KAPOLEI, HI 96707-2090
- **Practice address phone:** (808) 692-8888
- **Mailing address:** 1073 KINAU ST APT 604, HONOLULU, HI 96814-1405

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024