Lyle T. Tenjoma Dds, Msd | |
91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 | |
(808) 689-7964 | |
Not Available |
Full Name | Lyle T. Tenjoma Dds, Msd |
---|---|
Speciality | Dentist |
Location | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, Hawaii |
Authorized Official Name and Position | Lyle T. Tenjoma (OWNER) |
Authorized Official Contact | 8089414511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lyle T. Tenjoma Dds, Msd 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 | Lyle T. Tenjoma Dds, Msd 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 |
NPI Number | 1083094601 |
---|---|
Provider Enumeration Date | 06/09/2015 |
Last Update Date | 06/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083094601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1262 (Hawaii) | Primary |
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› Verified 3 days ago
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