| Island Dental Group Inc | |
|
98-1247 Kaahumanu St Suite 214 Aiea HI 96701-5311 | |
| (808) 484-4470 | |
| (808) 484-4462 |
| Full Name | Island Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 98-1247 Kaahumanu St, Aiea, Hawaii |
| Authorized Official Name and Position | Claude Noboru Tamura (PRESIDENT/OWNER) |
| Authorized Official Contact | 8084844470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Dental Group Inc 98-1247 Kaahumanu St Suite 214 Aiea HI 96701-5311 Ph: (808) 484-4470 | Island Dental Group Inc 98-1247 Kaahumanu St Suite 214 Aiea HI 96701-5311 Ph: (808) 484-4470 |
| NPI Number | 1295108280 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295108280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT 1744 (Hawaii) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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