Individual provider · Type 1 NPI

Gary E. Prose, DDS

General Practice Dentistry · Kailua, HI

NPI number 1083694020 Active

About NPI 1083694020

Gary E. Prose, DDS's National Provider Identifier is 1083694020, issued on Jan 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kailua, HI. The record was last updated on Jul 8, 2007.