Gary E Prose D.D.S.

NPI 1083694020 - Dentist - 1223G0001X

NPI Details
NPI 1083694020
Gender Male
Enumeration Date 01/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
322 AOLOA ST
APT 905
KAILUA HI, 96734-3041, US
Phone (808) 261-0055
Fax
Business Location
322 AOLOA ST
APT 905
KAILUA HI, 96734-3041, US
Phone (808) 261-0055
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 104980
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According to our database, Dr. Gary E Prose D.D.S. NPI is 1083694020, taxonomy code is 1223G0001X and license number is 104980, license state is located at Colorado. Gary E Prose D.D.S. physically located at 322 Aoloa St, Kailua HI, 96734-3041. NPI Number Gary E Prose D.D.S. has the Individual type.

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1083694020 NPI number is provided on an as is basis without warranty of any kind. 1083694020 is maintained by the National Plan & Provider Enumeration System. The contents of Gary E Prose D.D.S. are for informational purposes only.