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Yelizaveta Luchkovska Heron, DDS
General Practice Dentistry in Waianae, Hawaii
NPI 1780172379

Yelizaveta Luchkovska Heron is a General Practice Dentistry based in Mililani, HI and is specialized in General Practice. Yelizaveta Luchkovska Heron practices in Waianae, HI and has the professional credentials of DDS. The NPI Number for Yelizaveta Luchkovska Heron is 1780172379 and holds a License No. (Hawaii).

The current practice location address for Yelizaveta Luchkovska Heron is 86-260 Farrington Hwy, Waianae, HI and can be reached out via phone at 808-697-3496.

Location: 86-260 Farrington Hwy, Waianae, HI, 96789-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780172379
Provider Name
Yelizaveta Luchkovska Heron
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
86-260 Farrington Hwy, Waianae, HI, 96789-3213
Phone Number
808-697-3496
Fax Number
Provider Enumeration Date
04/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
86-260 Farrington Hwy
City
Waianae
State
Hawaii
Zip
96792-3128
Phone Number
808-697-3496
Fax Number
person
Provider Business Mailing Address Details
Address
86-260 Farrington Hwy
City
Waianae
State
Hawaii
Zip
96792-3128
Phone Number
808-697-3496
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
104020 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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