Organization
WEST KAUAI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASE CHUN DDS (OWNER)
(808) 352-1411
Entity
Organization
Contact information
Practice address
3490 HANAPEPE RD, HANAPEPE, HI 96716
(808) 335-5554
(808) 335-5591
Mailing address
6512 AHELE DR, KAPAA, HI 96746-9407
(808) 352-1411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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