Individual
DR. KEITH M KOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
98-211 PALI MOMI ST, SUITE 725, AIEA, HI 96701-4301
(808) 484-0600
(808) 484-0837
Mailing address
98-211 PALI MOMI ST, SUITE 725, AIEA, HI 96701-4301
(808) 484-0600
(808) 484-0837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1691
HI
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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