Organization
EMERALD ISLAND ORAL FACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H. RUSSELL D.M.D. (PRESIDENT)
(808) 245-9339
Entity
Organization
Contact information
Practice address
4414 KUKUI GROVE ST, SUITE #103, LIHUE, HI 96766-2016
(808) 245-9339
Mailing address
4381 KUKUI GROVE ST UNIT 101, LIHUE, HI 96766-1639
(808) 245-9339
(808) 246-9242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT1886
HI
Other
Enumeration date
05/07/2007
Last updated
06/25/2024
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