Kailua Center for Progressive Dentistry, LLC

NPI #1982836102 in Kailua, Hawaii

Provider Information

NPI Number: 1982836102
Entity Type: Organization
Organization Name: Kailua Center for Progressive Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 602 KAILUA RD STE 201
City: Kailua
State: Hawaii
ZIP Code: 96734-2841
Phone: (808) 263-6620

Authorized Official

Name: DR. JEFFREY SONSON, D.D.S.
Title: OWNER
Phone: (808) 263-6620

Specialties & Taxonomy Codes

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

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