Individual
DR. MARCOS S CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
94-239 WAIPAHU DEPOT ST, SUITE 212, WAIPAHU, HI 96797-2036
(808) 671-4958
(808) 678-0191
Mailing address
94-239 WAIPAHU DEPOT ST, SUITE 212, WAIPAHU, HI 96797-2036
(808) 671-4958
(808) 678-0191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT1466
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02301101
—
HI
Enumeration date
07/16/2006
Last updated
07/08/2007
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