| 12th Avenue Dental Centre Llc | |
|
1144 12th Ave Honolulu HI 96816-3712 | |
| (808) 737-3311 | |
| (808) 737-3331 |
| Full Name | 12th Avenue Dental Centre Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1144 12th Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | Patrick C Hayashi (DENTIST) |
| Authorized Official Contact | 8087373311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 12th Avenue Dental Centre Llc 1144 12th Ave Honolulu HI 96816-3712 Ph: (808) 737-3311 | 12th Avenue Dental Centre Llc 1144 12th Ave Honolulu HI 96816-3712 Ph: (808) 737-3311 |
| NPI Number | 1164750246 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164750246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1514 (Hawaii) | Primary |
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› Verified 4 days ago
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