Individual
OUIDA SEARAY VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
339 MONGOMERY AVE, HONOLULU, HI 96819
(808) 438-5555
Mailing address
92-100 WAIPAHE PL SLIP B-10, KAPOLEI, HI 96707-4293
(585) 678-5248
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020870-1
NY
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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