Organization
KYLE S.Q. CHOCK, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA LYN BOYCE-CABATU (OFFICE MGR)
(808) 961-2878
Entity
Organization
Contact information
Practice address
212 ULULANI ST, HILO, HI 96720-2629
(808) 961-2878
(808) 933-1651
Mailing address
212 ULULANI ST, HILO, HI 96720-2629
(808) 961-2878
(808) 933-1651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1145
HI
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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