Individual
DR. JERRY BARTOLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
302 CALIFORNIA AVE, SUITE 204, WAHIAWA, HI 96786-1841
(808) 622-2633
(808) 622-2342
Mailing address
95-1067 HOALIA ST, MILILANI, HI 96789-6558
(808) 384-9273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1914
HI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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