Individual
DR. JAY T. KANEGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
99-155 MOANALUA ROAD, AIEA, HI 96701-4009
(808) 488-4017
(808) 487-3060
Mailing address
99-155 MOANALUA ROAD, AIEA, HI 96701-4009
(808) 488-4017
(808) 487-3060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1365
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020195-01
—
HI
Enumeration date
10/03/2006
Last updated
07/08/2007
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