Organization
KYLE K LEONG DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE LEONG (DENTIST)
(808) 839-7795
Entity
Organization
Contact information
Practice address
2885 PAA ST STE 203, HONOLULU, HI 96819-4432
(808) 839-7795
Mailing address
2885 PAA ST STE 203, HONOLULU, HI 96819-4432
(808) 839-7795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2157
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922169499
HMSA
—
01
—
2157
HDS
—
Enumeration date
06/05/2009
Last updated
06/05/2009
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