Organization
TERRI ANDRADE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI ANDRADE (DENTIST)
(808) 671-8784
Entity
Organization
Contact information
Practice address
94-239 WAIPAHU DEPOT ST STE 208, WAIPAHU, HI 96797-3056
(808) 671-8784
Mailing address
94-239 WAIPAHU DEPOT ST STE 208, WAIPAHU, HI 96797-3056
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1821
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750301
—
HI
Enumeration date
05/14/2018
Last updated
05/14/2018
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