Individual
CARLOS DANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 WAIEHU BEACH RD # 1472, WAILUKU, HI 96793-1472
(808) 242-7294
Mailing address
270 WAIEHU BEACH RD # 1472, WAILUKU, HI 96793-1472
(808) 242-7294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-248088
HI
225200000X
Physical Therapy Assistant
2352
AK
Other
Enumeration date
08/26/2014
Last updated
02/02/2023
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