Organization
HAWAII ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SENIOR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
30 AULIKE ST, SUITE 404, HONOLULU, HI 96734
(808) 235-3131
(808) 234-0127
Mailing address
30 AULIKE ST, SUITE 404, HONOLULU, HI 96734
(808) 235-3131
(808) 234-0127
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2093
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093
STATE ID
HI
Enumeration date
07/06/2009
Last updated
05/08/2025
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