Individual
MS. ILEANA CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2484 KOLO RD, KILAUEA, HI 95754
(808) 828-1863
(808) 828-1774
Mailing address
PO BOX 746, KILAUEA, HI 95754
(808) 828-6675
(808) 828-1774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1133
HI
Other
Enumeration date
05/08/2006
Last updated
10/03/2012
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