Organization
WINDWARD EAR, NOSE AND THROAT CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN DIERDORFF (PRESIDENT)
(808) 262-1905
Entity
Organization
Contact information
Practice address
314 ULUNIU ST, KAILUA, HI 96734-2584
(808) 262-1905
Mailing address
314 ULUNIU ST, KAILUA, HI 96734-2584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1970
HI
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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