Whalio Doctors

NPI 1083094601

Lyle T. Tenjoma DDS, Msd

Organisation Dentist Ewa Beach, HI

Practice location

Address
91-902 Fort Weaver Rd STE 208, Ewa Beach, HI 96706-2261
Phone
(808) 689-7964

Authorised official

Name
Lyle T. Tenjoma
Title
Owner
Phone
(808) 941-4511

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 1262 (HI)

Registry record

NPI
1083094601
Entity type
Organization
NPI issued
9 Jun 2015
Record last updated
9 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.