Provider First Line Business Practice Location Address:
1001 KAMOKILA BLVD.
Provider Second Line Business Practice Location Address:
KAPOLEI FAMILY DENTAL CORP. KAPOLEI BLDG. # 109
Provider Business Practice Location Address City Name:
KAPOLEI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-674-8000
Provider Business Practice Location Address Fax Number:
808-674-8607
Provider Enumeration Date:
10/11/2006