Island Dental, Llc | |
444 Hana Hwy Ste 210 Kahului HI 96732-2315 | |
(808) 877-3000 | |
Not Available |
Full Name | Island Dental, Llc |
---|---|
Speciality | Dentist |
Location | 444 Hana Hwy Ste 210, Kahului, Hawaii |
Authorized Official Name and Position | John J. Dugan (OWNER) |
Authorized Official Contact | 8088773000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Island Dental, Llc 444 Hana Hwy Ste 210 Kahului HI 96732-2315 Ph: (808) 877-3000 | Island Dental, Llc 444 Hana Hwy Ste 210 Kahului HI 96732-2315 Ph: (808) 877-3000 |
NPI Number | 1568606101 |
---|---|
Provider Enumeration Date | 04/27/2009 |
Last Update Date | 04/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568606101 | NPI | - | NPPES |
1485 | Other | HI | STATE OF HAWAII |
1447463542 | Other | HI | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1485 (Hawaii) | Primary |
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Lance D Ogata D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Hana Hwy, Suite A-2, Kahului, HI 96732 Phone: 808-877-8090 Fax: 808-877-8010 | |
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