Organization
CHILDREN'S DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI OSHIRO (FINANCIAL COORDINATOR)
(808) 680-0097
Entity
Organization
Contact information
Practice address
1314 S KING ST, SUITE 618, HONOLULU, HI 96814-1956
(808) 596-9889
(808) 596-9892
Mailing address
1314 S KING ST, SUITE 618, HONOLULU, HI 96814-1956
(808) 596-9889
(808) 596-9892
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998
HDS
—
01
—
2069
HDS
—
Enumeration date
01/11/2007
Last updated
08/22/2020
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