Lyle T. Tenjoma Dds, Msd

NPI #1083094601 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1083094601
Entity Type: Organization
Organization Name: Lyle T. Tenjoma Dds, Msd
Subpart: Yes (part of a larger organization)
Parent Organization: LYLE T. TENJOMA DDS, MSD
Primary Specialty: Dentist
Enumeration Date: Jun 9, 2015
Last Updated: Jun 9, 2015

Practice Location

Address: 91-902 FORT WEAVER RD STE 208
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-2261
Phone: (808) 689-7964

Authorized Official

Name: DR. LYLE T. TENJOMA, DDS, MSD
Title: OWNER
Phone: (808) 941-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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