Basic Information
| Provider Information | |||||||||
| NPI: | 1821430414 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAWAHAKUI | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | KALOLENA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 N NEVADA AVE | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809031708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195761850 | ||||||||
| FaxNumber: | 7195761929 | ||||||||
| Practice Location | |||||||||
| Address1: | 2027 CERRILLOS RD | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875053269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058201212 | ||||||||
| FaxNumber: | 5058201218 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2013 | ||||||||
| LastUpdateDate: | 09/02/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DEN.00202856 | CO | N | Dental Providers | Dentist | General Practice | 1223G0001X | DD3921 | NM | Y | Dental Providers | Dentist | General Practice |
No ID Information.