Organization
KALIHI-PALAMA HEALTH CENTER DENTAL DEPARTMENT
Active
Parent organization
KALIHI-PALAMA HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
KALIHI-PALAMA HEALTH CENTER
Authorized official
DR. KEITH LARSON DDS (DENTAL DIRECTOR)
(808) 845-0686
Entity
Organization
Contact information
Practice address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 845-0686
(808) 841-1265
Mailing address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 845-0686
(808) 841-1265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51863106
—
HI
Enumeration date
02/14/2007
Last updated
07/20/2007
Update your record
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