Provider Demographics
NPI:1447482633
Name:ADORA, MARIA PORMENTO (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PORMENTO
Last Name:ADORA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 DILLINGHAM BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4436
Mailing Address - Country:US
Mailing Address - Phone:808-847-1225
Mailing Address - Fax:808-847-1225
Practice Address - Street 1:1210 DILLINGHAM BLVD STE 12
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4436
Practice Address - Country:US
Practice Address - Phone:808-847-1225
Practice Address - Fax:808-847-1225
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT18821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice