Individual
JORGE H PARRA BETANCOURT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 MAKALAPA DR, COMPACFLT HEALTH SVC (N01HD) ATTN: PROF AFFAIRS COORD, PEARL HARBOR, HI 96860-3131
(808) 471-2463
(808) 474-7806
Mailing address
250 MAKALAPA DR, COMPACFLT HEALTH SVC (N01HD) ATTN: PROF AFFAIRS COORD, PEARL HARBOR, HI 96860-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5650-015
WI
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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