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General NPI Number Information
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NPI Number | 1861041915
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Entity Type | Individual
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Provider Name | SUMMER MARTI-KINI ARNOLD DDS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 4491 RICE ST STE 106
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City | LIHUE
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State | HI
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Zip | 96766-1805
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Country | US
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Telephone | 808-240-0150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | ANAHOLA
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State | HI
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Zip | 96703-0131
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Country | US
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Telephone | 808-635-5980
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DT-2832
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License Number State | HI
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