Organization
LEEWARD PEDODONTIX, LLC
Active
Other names
James M. Hori DDS, Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYLYNN JUAN (ASSISTANT FINANCIAL COORDINATOR)
(808) 671-0055
Entity
Organization
Contact information
Practice address
94-229 WAIPAHU DEPOT ST, SUITE #501, WAIPAHU, HI 96797-3031
(808) 671-0055
(808) 671-3443
Mailing address
94-229 WAIPAHU DEPOT ST, SUITE #501, WAIPAHU, HI 96797-3031
(808) 671-0055
(808) 671-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1580
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52771502
—
HI
Enumeration date
03/21/2012
Last updated
03/21/2012
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