Individual
KEVIN R. OMURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
1223G0001X
General Practice Dentistry
Primary
1453
HI
Other
Enumeration date
05/22/2007
Last updated
03/02/2012
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