MAVIS KEIKO GUSHIKEN

KANEOHE BAY, HI
NPI1437405826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: HI  DH-423)
Enumeration Date2012-08-03
Last Update Date2012-08-03
Business Address
-- MAVIS KEIKO GUSHIKEN RDH
21ST DENTAL MCBH UNITE 38450
KANEOHE BAY, HI 96863
Phone number: 808-257-3100
Mailing Address
-- MAVIS KEIKO GUSHIKEN RDH
PO BOX 63037 21ST DENTAL MCBH
KANEOHE BAY, HI 96863
Phone number: 808-257-3100
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