Organization
DEREK B TOM DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK B TOM D.D.S. (OWNER)
(808) 488-0100
Entity
Organization
Contact information
Practice address
98-150 KAONOHI ST, C207, AIEA, HI 96701-5047
(808) 488-0100
(808) 488-0110
Mailing address
98-150 KAONOHI ST, C207, AIEA, HI 96701-5047
(808) 488-0100
(808) 488-0110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DT-2008
HI
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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