Valderueda, Lisa Mae

Valderueda, Lisa Mae is an individual health care provider with primary practice located at 94-229 Waipahu Depot St. Suite 500, Waipahu HI 96797-3035. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Valderueda, Lisa Mae can be contacted via phone (808) 676-5711.

Contact Information

Primary practice address
94-229 Waipahu Depot St. Suite 500 Waipahu HI 96797-3035
Fax: (808) 671-4785
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1525 Hawaii

Profile Details

NPI number 1053351304
LBN Legal business name Valderueda, Lisa Mae
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053351304 NPPES
Hawaii MEDICAID 025849-01

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