Healthcare Provider Details

I. General information

NPI: 1447442546
Provider Name (Legal Business Name): AURELIA BONHAM D.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HOOHANA ST STE 312
KAHULUI HI
96732-2467
US

IV. Provider business mailing address

140 HOOHANA ST STE 312
KAHULUI HI
96732-2467
US

V. Phone/Fax

Practice location:
  • Phone: 808-871-6576
  • Fax:
Mailing address:
  • Phone: 808-871-6576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDT2373
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: