Individual
JERRY V ILORETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 438-4131
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 438-4131
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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