Individual
SUSAN STROMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
68-1845 WAIKOLOA RD STE 205, WAIKOLOA, HI 96738-5581
(808) 657-0844
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839087
—
HI
Enumeration date
03/10/2018
Last updated
02/26/2021
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