Individual
KRISTINE SANDIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2024 N KING ST STE 101A, HONOLULU, HI 96819-3470
(808) 597-8057
Mailing address
2024 N KING ST STE 101A, HONOLULU, HI 96819-3470
(808) 597-8057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2766
HI
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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