Kidshine Kapolei LLC

NPI #1558839589 in Kapolei, Hawaii

Provider Information

NPI Number: 1558839589
Entity Type: Organization
Organization Name: Kidshine Kapolei LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 7, 2018
Last Updated: Nov 7, 2018

Practice Location

Address: 590 FARRINGTON HWY UNIT 155
City: Kapolei
State: Hawaii
ZIP Code: 96707-2011
Phone: (808) 427-9987

Authorized Official

Name: JESSI-CHARET MARTIN
Title: HOSPITAL COORDINATOR
Phone: (086) 383-3328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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