Salt Lake Family Dentistry

NPI #1053757807 in Honolulu, Hawaii

Provider Information

NPI Number: 1053757807
Entity Type: Organization
Organization Name: Salt Lake Family Dentistry
Subpart: Yes (part of a larger organization)
Parent Organization: SALT LAKE FAMILY DENTISTRY
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2013
Last Updated: May 21, 2013

Practice Location

Address: 905 C MAKAHIKI WAY
City: Honolulu
State: Hawaii
ZIP Code: 96826
Phone: (808) 839-7209

Authorized Official

Name: CHERYL TAMANAHA
Title: OWNER
Phone: (808) 839-7209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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