| Organization Name: | JENNIFER H. HIROTA, DDS, LLC |
| NPI Number: | 1093892234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER HIROTA (OWNER) |
| Mailing Address: | 91-902 Fort Weaver Rd Ste 208 Ewa Beach |
| State: | HI US |
| Postal Code: | 967062261 |
| Phone Number: | 8086897964 |
| Fax Number: | 8086890909 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DT 2152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |