is a Pediatric Dentistry in Honolulu, Hawaii. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for is 1437209384. The last update date is .
's current location address is 1314 S King St, Honolulu, Hawaii. You can contact this provider via phone number 8085969889 and fax number 8085969892. The mailing address for is 1314 S King St, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1314 S King St, Honolulu, Hawaii |
Phone Number | 8085969889 |
Fax Number | 8085969892 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1437209384 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1314 S King St |
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City | Honolulu |
State | Hawaii (HI) |
Post Code | 968141956 |
Phone Number | 8085969889 |
Fax Number | 8085969892 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2069 | HDS | ||
1998 | HDS |
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