Provider Demographics
NPI:1043466683
Name:WEST, BRUNO R (DDS)
Entity type:Individual
Prefix:DR
First Name:BRUNO
Middle Name:R
Last Name:WEST
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 BISHOP ST
Mailing Address - Street 2:211
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4817
Mailing Address - Country:US
Mailing Address - Phone:808-533-4471
Mailing Address - Fax:808-537-3716
Practice Address - Street 1:735 BISHOP ST
Practice Address - Street 2:211
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4817
Practice Address - Country:US
Practice Address - Phone:808-533-4471
Practice Address - Fax:808-537-3716
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist