Organization
SALT LAKE FAMILY DENTISTRY
Active
Parent organization
SALT LAKE FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALT LAKE FAMILY DENTISTRY
Authorized official
CHERYL TAMANAHA (OWNER)
(808) 839-7209
Entity
Organization
Contact information
Practice address
848 ALA LILIKOI ST STE 112, HONOLULU, HI 96818-2109
(808) 839-7209
(808) 836-7700
Mailing address
848 ALA LILIKOI ST STE 112, HONOLULU, HI 96818-2109
(808) 839-7209
(808) 836-7700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1944
HI
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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