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General NPI Number Information
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NPI Number | 1750096053
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Entity Type | Organization
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Legal Business Name | OHANA SMILES LLC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 30 AULIKE ST STE 204
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City | KAILUA
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State | HI
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Zip | 96734-2750
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Country | US
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Telephone | 808-203-8473
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Fax |
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Provider Business Mailing Address
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Address Line | 95-218 LILII PL
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City | MILILANI
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State | HI
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Zip | 96789-4221
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Country | US
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Telephone | 808-203-8473
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHRISTOPHER WU JR.
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Credential | DMD
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Telephone | 808-203-8473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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