Individual
GINA BENEDICTO VIERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
94-300 FARRINGTON HWY, SUITE D-02, WAIPAHU, HI 96797
(808) 671-5555
(808) 671-6161
Mailing address
98-1119 ILIEE ST, AIEA, HI 96701
(808) 484-5050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1965
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196508
HDS
HI
05
—
24982001
—
HI
01
—
E215573
HMSA
HI
01
—
J86995
UNITED CONCORDIA
HI
Enumeration date
10/02/2006
Last updated
07/08/2007
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