Provider Demographics
NPI:1679586283
Name:KUJIRAOKA, KATHLEEN MINORI (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MINORI
Last Name:KUJIRAOKA
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 1:46001 KAMEHAMEHA HIGHWAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3728
Mailing Address - Country:US
Mailing Address - Phone:808-235-2121
Mailing Address - Fax:808-247-8475
Practice Address - Street 1:46001 KAMEHAMEHA HIGHWAY
Practice Address - Street 2:SUITE 211
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3728
Practice Address - Country:US
Practice Address - Phone:808-235-2121
Practice Address - Fax:808-247-8475
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1682122300000X
CA33484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist