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Organization

KAILUA CENTER FOR PROGRESSIVE DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY SONSON D.D.S. (OWNER)
(808) 263-6620
Entity
Organization

Contact information

Practice address
602 KAILUA RD STE 201, KAILUA, HI 96734-2841
(808) 263-6620
(808) 263-0997
Mailing address
602 KAILUA RD STE 201, KAILUA, HI 96734-2841
(808) 263-6620
(808) 263-0997

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1927
HI

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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