Provider Demographics
NPI:1538453493
Name:KANEMARU-HWANG, JILL EMIKO (DDS)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:EMIKO
Last Name:KANEMARU-HWANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:EMIKO
Other - Last Name:KANEMARU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
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:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI24311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice