Provider Demographics
NPI:1700826484
Name:REGALA, ARLEEN GA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:GA
Last Name:REGALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Mailing Address - Street 2:#602
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3939
Mailing Address - Country:US
Mailing Address - Phone:808-488-1900
Mailing Address - Fax:808-487-8998
Practice Address - Street 1:99-128 AIEA HEIGHTS DR
Practice Address - Street 2:#602
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3925
Practice Address - Country:US
Practice Address - Phone:808-488-1900
Practice Address - Fax:808-487-8998
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-1950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist