Organization
KANEOHE KIDS DENTAL LLC
Active
Other names
Kaneohe Kids Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER YIM DDS (OWNER)
(808) 341-9932
Entity
Organization
Contact information
Practice address
46-005 KAWA ST STE 301, KANEOHE, HI 96744-3813
(808) 235-0550
(808) 234-1166
Mailing address
46-005 KAWA ST STE 301, KANEOHE, HI 96744-3813
(808) 235-0550
(808) 234-1166
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80292701
—
HI
Enumeration date
12/14/2022
Last updated
12/14/2022
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