Organization
KUHIO PEDIATRIC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL P JAUREQUI DDS (OWNER/ DENTIST)
(808) 378-4869
Entity
Organization
Contact information
Practice address
3-3359 KUHIO HWY, LIHUE, HI 96766-1061
(808) 378-4869
(808) 320-3329
Mailing address
3-3359 KUHIO HWY, LIHUE, HI 96766-1031
(808) 378-4869
(808) 320-3329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
10/28/2016
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