| NPI | 1619849874 |
|---|---|
| Doing Business As | WAIANAE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYLEE LEIDHOLT NISHIOKA Member 406-951-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |