Individual
LIZELLE BUNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
Mailing address
641 MOLOKAI AKAU ST, KAHULUI, HI 96732-1933
(808) 269-2235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-2334
HI
126800000X
Dental Assistant
220246
HI
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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