Individual
EVAN M KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95-720 LANIKUHANA AVE STE 270, MILILANI, HI 96789-2987
(808) 748-4972
Mailing address
95-720 LANIKUHANA AVE STE 270, MILILANI, HI 96789-2987
(808) 748-4972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2977
WI
1223G0001X
General Practice Dentistry
DT-2977
HI
Other
Enumeration date
04/29/2021
Last updated
05/31/2023
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