Organization
EMERALD ISLAND ORAL FACIAL SURGERY, INC.
Active
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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