Organization
AIEA PEDIATRIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAYNA PERREIRA (OFFICE MANAGER)
(808) 488-0100
Entity
Organization
Contact information
Practice address
98-150 KAONOHI ST, SUITE C-207, AIEA, HI 96701-5047
(808) 488-0100
(808) 488-0110
Mailing address
98-150 KAONOHI ST, SUITE C-207, AIEA, HI 96701-5047
(808) 488-0100
(808) 488-0110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2313
HI
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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