Organization
SKPD 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY MAE NAVARRO RAWSON DDS (OWNER)
(808) 312-0254
Entity
Organization
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 501, WAIPAHU, HI 96797-3035
(808) 671-0055
Mailing address
94-229 WAIPAHU DEPOT ST STE 501, WAIPAHU, HI 96797-3035
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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