Wailuku Dentists LLC

NPI #1457737272 in Wailuku, Hawaii

Provider Information

NPI Number: 1457737272
Entity Type: Organization
Organization Name: Wailuku Dentists LLC
Primary Specialty: Dentist
Enumeration Date: Aug 4, 2015
Last Updated: Aug 4, 2015

Practice Location

Address: 1885 MAIN ST
Address 2: SUITE 208
City: Wailuku
State: Hawaii
ZIP Code: 96793
Phone: (808) 242-4774

Authorized Official

Name: NOLAN KIDO
Title: DULY AUTHORIZED AGENT
Phone: (808) 242-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist	122300000X	Primary

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