Organization
KEALAKEKUA DENTAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. BUNNELL D.D.S, (MEMBER)
(808) 322-9357
Entity
Organization
Contact information
Practice address
79-7592 MAMALAHOA HIGHWAY, KEALAKEKUA, HI 96750
(808) 322-9357
(808) 322-0921
Mailing address
79-7592 MAMALAHOA HIGHWAY, KEALAKEKUA, HI 96750
(808) 322-9357
(808) 322-0921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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