| Kailua Family Dental Llc | |
|
407 Uluniu St Ste 114 Kailua HI 96734-2531 | |
| (808) 261-5951 | |
| Not Available |
| Full Name | Kailua Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 407 Uluniu St Ste 114, Kailua, Hawaii |
| Authorized Official Name and Position | Leon Ajayi Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 6503027086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kailua Family Dental Llc 1379 Manu Aloha St Kailua HI 96734-4375 Ph: (650) 302-7086 | Kailua Family Dental Llc 407 Uluniu St Ste 114 Kailua HI 96734-2531 Ph: (808) 261-5951 |
| NPI Number | 1316774177 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316774177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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