Pearlridge Dental Group Inc.

NPI #1790934024 in Aiea, Hawaii

Provider Information

NPI Number: 1790934024
Entity Type: Organization
Organization Name: Pearlridge Dental Group Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 98-211 PALI MOMI ST
Address 2: STE. #737
City: Aiea
State: Hawaii
ZIP Code: 96701-4301
Phone: (808) 487-1554

Authorized Official

Name: DR. CRAIG M. KANESHIRO, DDS
Title: PRESIDENT
Phone: (808) 487-1554

Specialties & Taxonomy Codes

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

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