Individual
DR. SAMUEL AUSTIN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3221 WAIALAE AVE STE 376, HONOLULU, HI 96816-5845
(808) 737-9032
Mailing address
577 KAWAILOA RD, KAILUA, HI 96734-3180
(760) 271-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-3017
HI
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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