| Kuhio Dental Group | |
|
111 E Puainako St Unit 104 Hilo HI 96720-5288 | |
| (808) 959-3433 | |
| (808) 959-3675 |
| Full Name | Kuhio Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 111 E Puainako St Unit 104, Hilo, Hawaii |
| Authorized Official Name and Position | Jonathan William Mah (OWNER) |
| Authorized Official Contact | 8089593433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuhio Dental Group 111 E. Puainako St., Unit #104 Hilo HI 96720 Ph: (808) 959-3433 | Kuhio Dental Group 111 E Puainako St Unit 104 Hilo HI 96720-5288 Ph: (808) 959-3433 |
| NPI Number | 1992936140 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992936140 | NPI | - | NPPES |
| 00L063804 | Other | HI | HAWAII MEDICAL SERVICES ASSOCIATION |
| 61617 | Other | HI | HAWAII DENTAL SERVICES |
| 537730 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT 1617 (Hawaii) | Primary |
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