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General NPI Number Information
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NPI Number | 1437209384
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Entity Type | Organization
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Legal Business Name | CHILDREN'S DENTAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1314 S KING ST SUITE 618
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City | HONOLULU
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State | HI
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Zip | 96814-1956
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Country | US
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Telephone | 808-596-9889
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Fax | 808-596-9892
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Provider Business Mailing Address
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Address Line | 1314 S KING ST SUITE 618
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City | HONOLULU
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State | HI
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Zip | 96814-1956
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Country | US
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Telephone | 808-596-9889
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Fax | 808-596-9892
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Authorized Official
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Title or Position | FINANCIAL COORDINATOR
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Name | LORI OSHIRO
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Credential |
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Telephone | 808-680-0097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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