Individual
DR. BROOKE MAILE BURGESS UPERESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3660 WAIALAE AVE, SUITE 212, HONOLULU, HI 96816-3257
(808) 737-3525
(808) 737-1964
Mailing address
3660 WAIALAE AVE, SUITE 212, HONOLULU, HI 96816-3257
(808) 737-3525
(808) 737-1964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT2520
HI
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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