Individual
HEATHER LENORE CANTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-192 PILI MUA ST, KEAAU, HI 96749-8134
(808) 930-0400
Mailing address
224 HAILI ST, BLDG B, HILO, HI 96720-2975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2504
HI
1223D0001X
Public Health Dentistry
195
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2012
Last updated
03/24/2013
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