Organization
OAHU ORTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEMARIE TAN DDS (ORTHODONTIST)
(312) 404-5393
Entity
Organization
Contact information
Practice address
3221 WAIALAE AVE, STE 370, HONOLULU, HI 96816-5842
(312) 404-5393
Mailing address
3221 WAIALAE AVE, STE 370, HONOLULU, HI 96816-5842
(312) 404-5393
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DT-2464
HI
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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