Individual
DR. J. MICKEY DAMERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1129 LOWER MAIN ST STE 107, WAILUKU, HI 96793-2054
(808) 244-1499
(808) 244-9377
Mailing address
1129 LOWER MAIN ST STE 107, WAILUKU, HI 96793-2054
(808) 244-1499
(808) 244-9377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00935
HI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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