Jomarc Dasalla
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1558106922
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1558106922
- Entity type
- Individual (NPI-1)
- Name
- Jomarc Dasalla
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2024
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 122300000X | Dentist | DT-3304 | HI |
Practice location
1 Kneeland St # 1005Boston, MA 02111-1527
Phone 617-636-6828
Mailing address
91-1018 Kaiau Ave # 1bKapolei, HI 96707-1986
Phone 907-738-5638
Other practice locations
98-1005 Moanalua Rd Spc 2000
Aiea, HI 96701-4700
Aiea, HI 96701-4700
Phone 808-489-9539
3270 Waialae Ave
Honolulu, HI 96816-5836
Honolulu, HI 96816-5836
Phone 808-732-4377
1441 Kapiolani Blvd Ste 1207
Honolulu, HI 96814-4406
Honolulu, HI 96814-4406
Phone 808-354-0440
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