Individual
KYLEE LEIDHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
719 KAMEHAMEHA HWY, PEARL CITY, HI 96782-2709
(808) 455-3485
Mailing address
719 KAMEHAMEHA HWY, PEARL CITY, HI 96782-2709
(808) 455-3485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2782
HI
Other
Enumeration date
10/20/2018
Last updated
10/20/2018
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