Organization
WAHIAWA FAMILY DENTAL CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA SATO (OPERATIONS MANAGER)
(808) 622-2633
Entity
Organization
Contact information
Practice address
302 CALIFORNIA AVE STE 204, WAHIAWA, HI 96786-1841
(808) 622-2633
(808) 622-2342
Mailing address
302 CALIFORNIA AVE STE 204, WAHIAWA, HI 96786-1841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1137
HI
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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