| Skpd 2 Llc | |
|
94-229 Waipahu Depot St Ste 501 Waipahu HI 96797-3035 | |
| (808) 671-0055 | |
| Not Available |
| Full Name | Skpd 2 Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 94-229 Waipahu Depot St Ste 501, Waipahu, Hawaii |
| Authorized Official Name and Position | Audrey Mae Navarro Rawson (OWNER) |
| Authorized Official Contact | 8083120254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skpd 2 Llc 94-229 Waipahu Depot St Ste 501 Waipahu HI 96797-3035 Ph: () - | Skpd 2 Llc 94-229 Waipahu Depot St Ste 501 Waipahu HI 96797-3035 Ph: (808) 671-0055 |
| NPI Number | 1710739867 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710739867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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