Provider Demographics
NPI:1548960446
Name:CHUN, DANYALLE KAHAEHOLOOKALANI (DMD)
Entity type:Individual
Prefix:DR
First Name:DANYALLE
Middle Name:KAHAEHOLOOKALANI
Last Name:CHUN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9759 PANTHER HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8709
Mailing Address - Country:US
Mailing Address - Phone:808-384-1316
Mailing Address - Fax:
Practice Address - Street 1:770 E WARM SPRINGS RD STE 220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4347
Practice Address - Country:US
Practice Address - Phone:702-844-0448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist