| Family Dental Clinic, Inc. | |
|
1210 Dillingham Blvd Suite 12 Honolulu HI 96817-4436 | |
| (808) 847-1225 | |
| (808) 847-1226 |
| Full Name | Family Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1210 Dillingham Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Maria Pormento Adora (GENERAL DENTISTRY) |
| Authorized Official Contact | 8088471225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Clinic, Inc. 1210 Dillingham Blvd Suite 12 Honolulu HI 96817-4436 Ph: (808) 847-1225 | Family Dental Clinic, Inc. 1210 Dillingham Blvd Suite 12 Honolulu HI 96817-4436 Ph: (808) 847-1225 |
| NPI Number | 1356492003 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356492003 | NPI | - | NPPES |
| 1882 | Other | HI | HDS |
| 859012 | Other | HI | UNITED CONCORDIA CO.,INC. |
| K0206603 | Other | HI | HMSA |
| 07806601 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT1882 (Hawaii) | Primary |
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› Verified 9 days ago
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