Organization
LYLE T. TENJOMA DDS, MSD
Active
Parent organization
LYLE T. TENJOMA DDS, MSD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LYLE T. TENJOMA DDS, MSD
Authorized official
DR. LYLE T. TENJOMA DDS, MSD (OWNER)
(808) 941-4511
Entity
Organization
Contact information
Practice address
91-902 FORT WEAVER RD STE 208, EWA BEACH, HI 96706-2261
(808) 689-7964
Mailing address
91-902 FORT WEAVER RD STE 208, EWA BEACH, HI 96706-2261
(808) 689-7964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1262
HI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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