Organization
ROBERT K. AZAMA, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K. AZAMA DMD (OWNER)
(808) 455-8577
Entity
Organization
Contact information
Practice address
850 KAMEHAMEHA HWY STE 115, PEARL CITY, HI 96782-2603
(808) 455-8577
Mailing address
850 KAMEHAMEHA HWY STE 115, PEARL CITY, HI 96782-2603
(808) 455-8577
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1072
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04141401
—
HI
Enumeration date
07/09/2018
Last updated
07/09/2018
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