NPI 1710270772

Wahiawa Tokunaga Family Dentistry, LLC

Organisation Health Maintenance Organization Wahiawa, HI

Practice location

Address: 612 Kilani Ave, Wahiawa, HI 96786-1904
Phone: (808) 622-5570
Fax: (808) 622-5572

Authorised official

Name: Kelli Sousa
Title: Receptionist
Phone: (808) 689-7964

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1529 (HI)

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Registry record

NPI: 1710270772
Entity type: Organization
NPI issued: 24 May 2011
Record last updated: 24 May 2011

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.