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Individual

DR. LANCE DIAMOND OGATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
444 HANA HWY STE A2, KAHULUI, HI 96732-2315
(808) 877-8090
(808) 877-8010
Mailing address
444 HANA HWY STE A2, KAHULUI, HI 96732-2315
(808) 877-8090
(808) 877-8010

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1655
HI
1223G0001X
General Practice Dentistry
36813
CA

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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