Organization
KIDSHINE KAPOLEI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSI-CHARET MARTIN (HOSPITAL COORDINATOR)
(086) 383-3328
Entity
Organization
Contact information
Practice address
590 FARRINGTON HWY UNIT 155, KAPOLEI, HI 96707-2011
(808) 427-9987
Mailing address
850 KAMEHAMEHA HWY STE 215, PEARL CITY, HI 96782-2603
(808) 638-3332
(808) 427-5136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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