Provider Demographics
NPI:1710920574
Name:DUMBRIQUE, CELIA ALONZO (DMD)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:ALONZO
Last Name:DUMBRIQUE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-366 PUPUPANI ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2650
Mailing Address - Country:US
Mailing Address - Phone:808-676-2435
Mailing Address - Fax:808-671-4568
Practice Address - Street 1:94-366 PUPUPANI ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2650
Practice Address - Country:US
Practice Address - Phone:808-676-2435
Practice Address - Fax:808-671-4568
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01644787OtherUNITED CONCORDIA
HI208501OtherHDS
A0248565OtherHMSA
HI55691202Medicaid