Organization
WEST OAHU DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENARA DABU ALCANTRA DMD (DENTIST)
(808) 692-8888
Entity
Organization
Contact information
Practice address
1001 KAMOKILA BLVD, SUITE 157, KAPOLEI, HI 96707-2014
(808) 692-8888
(808) 692-8884
Mailing address
1001 KAMOKILA BLVD, SUITE 157, KAPOLEI, HI 96707-2014
(808) 692-8888
(808) 692-8884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT2258
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58619102
—
HI
Enumeration date
11/02/2010
Last updated
11/02/2010
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