Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2251 | HI |
NPI | 1003902891 |
---|---|
Provider Name | Dr. Gayla A Leung |
First Address | Honolulu, HI 96814-3142 |
Second Address | Honolulu, HI 96814-3142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |