Organization
SAN DIEGO FAMILY DENTISTRY , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MA EMERITA B. SAN DIEGO D.M.D. (DENTIST)
(808) 597-8057
Entity
Organization
Contact information
Practice address
1150 S. KING ST., SUITE 504, HONOLULU, HI 96814-1968
(808) 597-8057
(808) 597-8057
Mailing address
1150 S. KING ST., SUITE 504, HONOLULU, HI 96814-1968
(808) 597-8057
(808) 597-8057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2335
HI
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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