Provider Demographics
NPI:1851441240
Name:KANEMARU, LESTER (DMD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:
Last Name:KANEMARU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 KILANI AVE
Mailing Address - Street 2:SUITE 221
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1844
Mailing Address - Country:US
Mailing Address - Phone:808-622-4354
Mailing Address - Fax:808-622-0555
Practice Address - Street 1:410 KILANI AVE
Practice Address - Street 2:SUITE 221
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1844
Practice Address - Country:US
Practice Address - Phone:808-622-4354
Practice Address - Fax:808-622-0555
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice