DR. Gary E Prose, D.D.S.

NPI #1083694020 in Kailua, Hawaii

Provider Information

NPI Number: 1083694020
Entity Type: Individual
Name: DR. Gary E Prose, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 322 AOLOA ST
Address 2: APT 905
City: Kailua
State: Hawaii
ZIP Code: 96734-3041
Phone: (808) 261-0055

Specialties & Taxonomy Codes

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

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