Individual
HEIDI DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 PRISON ST, LAHAINA, HI 96761-1299
(808) 661-0051
(808) 661-5975
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A14116
CA
207Q00000X
Family Medicine Physician
Primary
DOS-2011
HI
Other
Enumeration date
06/22/2015
Last updated
09/11/2019
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