Kapolei Family Dental Corporation

NPI #1114155413 in Kapolei, Hawaii

Provider Information

NPI Number: 1114155413
Entity Type: Organization
Organization Name: Kapolei Family Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2009
Last Updated: Jun 24, 2009

Practice Location

Address: 1001 KAMOKILA BLVD
Address 2: # 109 KAPOLEI BLDG
City: Kapolei
State: Hawaii
ZIP Code: 96707-2014
Phone: (808) 674-8000

Authorized Official

Name: DR. RICHARD WEN-JOU LIU, D.D.S.
Title: DENTIST/OWNER
Phone: (808) 674-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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