Organization
PEARLRIDGE DENTAL CARE, LLC
Active
Other names
Pearlridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE NAKAGAWA (OPERATIONS ADMIN ASSISTANT)
(808) 489-9530
Entity
Organization
Contact information
Practice address
98-1005 MOANALUA RD, SUITE 2000, AIEA, HI 96701-4777
(808) 489-9530
Mailing address
98-1005 MOANALUA RD SPC 2000, AIEA, HI 96701-4700
(808) 489-9530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT-1943
HI
1223G0001X
General Practice Dentistry
Primary
DT-1943
HI
Other
Enumeration date
10/04/2013
Last updated
10/27/2022
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