Individual
SUPRIYA KOIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3496
Mailing address
1650 ALA MOANA BLVD APT 1909, HONOLULU, HI 96815-1412
(303) 503-7818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DTT292
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
02/13/2017
Last updated
03/17/2018
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