| Kidshine Kapolei Llc | |
|
590 Farrington Hwy Unit 155 Kapolei HI 96707-2011 | |
| (808) 427-9987 | |
| Not Available |
| Full Name | Kidshine Kapolei Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 590 Farrington Hwy Unit 155, Kapolei, Hawaii |
| Authorized Official Name and Position | Jessi-charet Martin (HOSPITAL COORDINATOR) |
| Authorized Official Contact | 0863833328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidshine Kapolei Llc 850 Kamehameha Hwy Ste 215 Pearl City HI 96782-2603 Ph: (808) 638-3332 | Kidshine Kapolei Llc 590 Farrington Hwy Unit 155 Kapolei HI 96707-2011 Ph: (808) 427-9987 |
| NPI Number | 1558839589 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558839589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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