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1225046386
J. MICKEY DAMERELL
WAILUKU, HI
NPI
1225046386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: HI 00935)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. J. MICKEY DAMERELL D.D.S., M.S.
1129 LOWER MAIN ST STE 107
WAILUKU, HI 96793-2054
Phone number: 808-244-1499
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Mailing Address
Dr. J. MICKEY DAMERELL D.D.S., M.S.
1129 LOWER MAIN ST STE 107
WAILUKU, HI 96793-2054
Phone number: 808-244-1499
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