Individual
MRS. DIANE MARIE KOCKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
45 AULIKE ST, KAILUA, HI 96734-2754
(808) 262-6000
Mailing address
1497 MILOIKI ST, HONOLULU, HI 96825-3229
(808) 741-7292
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1217
HI
Other
Enumeration date
08/08/2024
Last updated
08/16/2024
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