| Kaneohe Dental Care, Llc | |
|
45-950 Kamehameha Hwy Kaneohe HI 96744-3260 | |
| (808) 247-4291 | |
| Not Available |
| Full Name | Kaneohe Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 45-950 Kamehameha Hwy, Kaneohe, Hawaii |
| Authorized Official Name and Position | Cedric T Lewis (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 8084283278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaneohe Dental Care, Llc 72 Moaniala Pl Honolulu HI 96821-2544 Ph: (808) 428-3278 | Kaneohe Dental Care, Llc 45-950 Kamehameha Hwy Kaneohe HI 96744-3260 Ph: (808) 247-4291 |
| NPI Number | 1710639281 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710639281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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