Organization
GEORGE A. KANNA DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANWOOD H KANNA D.D.S. (PRESIDENT)
(808) 335-5554
Entity
Organization
Contact information
Practice address
3490 HANAPEPE RD., HANAPEPE, HI 96716-0527
(808) 335-5554
Mailing address
PO BOX 527, 3490 HANAPEPE RD, HANAPEPE, HI 96716-0527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1516
HI
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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