Organization
PUKALANI DENTAL GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN OMURO DMD (DENTIST)
(808) 572-9111
Entity
Organization
Contact information
Practice address
3434 OLD HALEAKALA HWY, MAKAWAO, HI 96768-8510
(808) 572-9111
Mailing address
3434 OLD HALEAKALA HWY, MAKAWAO, HI 96768-8510
(808) 572-9111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1453
HI
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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