Individual
LENA POONNOPATAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
91-1121 KEAUNUI DR STE 112, EWA BEACH, HI 96706-6365
(808) 748-4971
Mailing address
55 S KUKUI ST APT D1905, HONOLULU, HI 96813-2367
(661) 755-6291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2923
HI
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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