# WAIMEA SMILES INC

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

## Provider details

- **NPI number:** 1932334042
- **Authorized official:** DR. LEESA MIYASATO DDS (OWNER/DENTIST)
- **Authorized official phone:** (808) 887-8801

## Contact information

- **Practice address:** 65-1230 MAMALAHOA HWY, E-21, KAMUELA, HI 96743-8318
- **Practice address phone:** (808) 887-8801
- **Practice address fax:** (808) 887-8805
- **Mailing address:** 65-1230 MAMALAHOA HWY, E-21, KAMUELA, HI 96743-8318
- **Mailing address phone:** (808) 887-8801
- **Mailing address fax:** (808) 887-8805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | DT1389 | HI | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009