Healthcare Provider Details

I. General information

NPI: 1851448682
Provider Name (Legal Business Name): LESTER HARUNAGA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95-720 LANIKUHANA AVE SUITE 270
MILILANI HI
96789-2985
US

IV. Provider business mailing address

500 ALA MOANA BLVD SUITE 7-220
HONOLULU HI
96813-4920
US

V. Phone/Fax

Practice location:
  • Phone: 808-623-7888
  • Fax: 808-623-7889
Mailing address:
  • Phone: 808-523-3103
  • Fax: 808-523-3122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDT-1060
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: