Individual
MICHAEL PAMPALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
75-1028 HENRY ST, #102, KAILUA KONA, HI 96740-1693
(808) 329-0025
Mailing address
75-1028 HENRY ST, #102, KAILUA KONA, HI 96740-1693
(808) 329-0025
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT 2382
HI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/16/2009
Last updated
06/05/2013
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