Organization
WAHIAWA TOKUNAGA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SOUSA (RECEPTIONIST)
(808) 689-7964
Entity
Organization
Contact information
Practice address
612 KILANI AVE, WAHIAWA, HI 96786-1904
(808) 622-5570
(808) 622-5572
Mailing address
612 KILANI AVE, WAHIAWA, HI 96786-1904
(808) 622-5570
(808) 622-5572
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1529
HI
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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