Organization
PACIFIC FAMILY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KEKOA WATANABE DDS (PRESIDENT)
(808) 422-1155
Entity
Organization
Contact information
Practice address
4429 MALAAI ST, SUITE 103, HONOLULU, HI 96818-3158
(808) 422-1155
Mailing address
4429 MALAAI ST, SUITE 103, HONOLULU, HI 96818-3158
(808) 422-1155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DT1923
HI
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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