Provider Demographics
NPI:1821430414
Name:KAWAHAKUI, LINDSEY KALOLENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:KALOLENA
Last Name:KAWAHAKUI
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 1:2047 COLUMBIA DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-3279
Mailing Address - Country:US
Mailing Address - Phone:719-566-0206
Mailing Address - Fax:719-561-1095
Practice Address - Street 1:2047 COLUMBIA DR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-3279
Practice Address - Country:US
Practice Address - Phone:719-566-0206
Practice Address - Fax:719-561-1095
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002028561223G0001X
NMDD39211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice