Pualani Dental Corporation
Dentist, General Practice in Kailua, HI. Organization (NPI-2).
NPI number1104667906
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1104667906
- Entity type
- Organization (NPI-2)
- Legal business name
- Pualani Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
407 Uluniu St Ste 114Kailua, HI 96734-2531
Phone 808-633-1207
Mailing address
1391 Kapiolani Blvd Apt 1101Honolulu, HI 96814-4584
Phone 808-633-1207
Authorized official
Robert W Leonard
President
8086331207
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