Individual
DR. GARY LEE AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
81-990 HALEKII ST STE 7, KEALAKEKUA, HI 96750-8104
(808) 322-9355
(808) 322-6130
Mailing address
81-990 HALEKII ST STE 7, KEALAKEKUA, HI 96750-8104
(808) 322-9355
(808) 322-6130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1750
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000597201
—
HI
Enumeration date
02/06/2007
Last updated
07/08/2007
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