Individual
AMMON K KAOPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
237 RADIO DR STE 110, WOODBURY, MN 55125-4478
(651) 564-7212
Mailing address
11202 MICHAEL PL, BURLINGTON, WA 98233-8406
(360) 610-3308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61340691
WA
Other
Enumeration date
08/16/2022
Last updated
06/08/2023
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