Organization
NALU DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOKI CHUNG DDS (OWNER)
(808) 658-0468
Entity
Organization
Contact information
Practice address
28 KAMOI ST, SUITE #200, KAUNAKAKAI, HI 96748-0841
(808) 553-5118
(808) 553-3477
Mailing address
28 KAMOI ST, SUITE #200, KAUNAKAKAI, HI 96748-0841
(808) 553-5118
(808) 553-3477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2406
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686264
—
HI
Enumeration date
11/05/2015
Last updated
11/05/2015
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