Individual
DR. LISA MAE VALDERUEDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
94-229 WAIPAHU DEPOT ST., SUITE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Mailing address
94-229 WAIPAHU DEPOT ST., SUITE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1525
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025849-01
—
HI
Enumeration date
06/07/2006
Last updated
07/08/2007
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