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Individual

DR. SONIA Q COSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTIST

Contact information

Practice address
803 KAMEHAMEHA HWY, SUITE 300, PEARL CITY, HI 96782
(808) 455-7400
(808) 456-2622
Mailing address
803 KAMEHAMEHA HWY, SUITE 300, PEARL CITY, HI 96782-2638
(808) 455-7400
(808) 456-2622

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1464
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01889701
HI
01
146101
HDS
HI
01
J20245
HMSA
HI
Enumeration date
10/23/2006
Last updated
07/08/2007
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