Mililani Dental Associates, LLC

NPI #1417237447 in Mililani, Hawaii

Provider Information

NPI Number: 1417237447
Entity Type: Organization
Organization Name: Mililani Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 95-390 KUAHELANI AVE
Address 2: SUITE 3E
City: Mililani
State: Hawaii
ZIP Code: 96789-1192
Phone: (808) 623-9800

Authorized Official

Name: DR. DONOVAN WCK YOUNG, D.D.S.
Title: MEMBER
Phone: (808) 623-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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