Organization
PUKALANI DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL YAMADA DDS (PARTNER)
(808) 269-5823
Entity
Organization
Contact information
Practice address
40 KUPAOA ST STE 203, MAKAWAO, HI 96768-6215
(808) 572-9111
Mailing address
11 HANALE WAY, KULA, HI 96790-8502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT1424
HDS, HMSA
HI
Enumeration date
09/06/2022
Last updated
09/06/2022
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