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Individual

DR. KYOKO AWAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MSD

Contact information

Practice address
81-6627 MAMALAHOA HWY, SUITE 106, KEALAKEKUA, HI 96750-8180
(808) 323-8005
(808) 323-2255
Mailing address
81-6627 MAMALAHOA HWY, SUITE 106, KEALAKEKUA, HI 96750-8180
(808) 323-8005
(808) 323-2255

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6241
WA
1223P0221X
Pediatric Dentistry
Primary
CSDT-60
HI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6241
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5022918
WA
05
686701
HI
Enumeration date
02/05/2007
Last updated
01/23/2014
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