Organization
KAPOLEI FAMILY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WEN-JOU LIU D.D.S. (DENTIST/OWNER)
(808) 674-8000
Entity
Organization
Contact information
Practice address
1001 KAMOKILA BLVD, # 109 KAPOLEI BLDG, KAPOLEI, HI 96707-2014
(808) 674-8000
(808) 674-8607
Mailing address
1001 KAMOKILA BLVD, # 109 KAPOLEI BLDG, KAPOLEI, HI 96707-2014
(808) 674-8000
(808) 674-8607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-1703
HI
122300000X
Dentist
DT-1850
HI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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