Individual
DR. KEILEEN FUKADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
98-211 PALI MOMI ST STE 737, AIEA, HI 96701-4339
(808) 487-1554
Mailing address
95-102 MAHOA PL, MILILANI, HI 96789-3025
(808) 347-3899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2859
HI
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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