Organization
PEARLRIDGE DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M. KANESHIRO DDS (PRESIDENT)
(808) 487-1554
Entity
Organization
Contact information
Practice address
98-211 PALI MOMI ST, STE. #737, AIEA, HI 96701-4301
(808) 487-1554
(808) 487-1556
Mailing address
98-211 PALI MOMI ST, STE. #737, AIEA, HI 96701-4301
(808) 487-1554
(808) 487-1556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1464
HI
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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