Organization
MALAMA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE M KOCKELMAN RDH (DENTAL HYGIENIST)
(808) 741-7292
Entity
Organization
Contact information
Practice address
45 AULIKE ST, KAILUA, HI 96734-2754
(808) 262-6000
Mailing address
1497 MILOIKI ST, HONOLULU, HI 96825-3229
(808) 741-7292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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