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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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