Organization
ALOHA STADIUM DENTAL ASSOCIATES
Active
Parent organization
ALOHA STADIUM DENTAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALOHA STADIUM DENTAL ASSOCIATES
Authorized official
DR. TINA TOM (DOCTOR)
(808) 487-9948
Entity
Organization
Contact information
Practice address
4510 SALT LAKE BLVD, SUITE B-3, HONOLULU, HI 96818-3153
(808) 487-9948
Mailing address
4510 SALT LAKE BLVD, SUITE B-3, HONOLULU, HI 96818-3153
(808) 487-9948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
170400A0078749
HI
Other
Enumeration date
03/17/2014
Last updated
05/22/2014
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