Individual
DESIREE BABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1800
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1179
HI
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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