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Organization

TINA N. TOM, DDS A PROFESSIONAL CORPORATION

Active
Parent organization
TINA N. TOM, DDS A PROFESSIONAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
TINA N. TOM, DDS A PROFESSIONAL CORPORATION
Authorized official
TINA N TOM DDS (PRESIDENT/OWNER)
(808) 778-4929
Entity
Organization

Contact information

Practice address
1600 KAPIOLANI BLVD STE 807, HONOLULU, HI 96814-3802
(808) 778-4929
Mailing address
1600 KAPIOLANI BLVD STE 807, HONOLULU, HI 96814-3802
(808) 778-4929

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1704
HI

Other

Enumeration date
10/02/2012
Last updated
10/02/2012
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