Organization
WAILUKU DENTISTS LLC
Active
Other names
Hawaii Dental Wailuku
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN KIDO (DULY AUTHORIZED AGENT)
(808) 242-4774
Entity
Organization
Contact information
Practice address
1885 MAIN ST, SUITE 208, WAILUKU, HI 96793
(808) 242-4774
Mailing address
50 SOUTH BERETANIA ST, C-117B, HONOLULU, HI 96813
(808) 242-4774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2545
HI
1223P0700X
Prosthodontics
1030
HI
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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