Organization
LISA VALDERUEDA, DMD, INC.
Active
Other names
Lisa Valderueda, DMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MAE VALDERUEDA DMD (PRESIDENT)
(808) 676-5711
Entity
Organization
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Mailing address
94-229 WAIPAHU DEPOT ST STE 500, WAIPAHU, HI 96797-3035
(808) 676-5711
(808) 671-4785
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1525
HI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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