| Mauna Kea Dental Llc | |
|
65-1158 Mamalahoa Hwy Ste 27a Kamuela HI 96743-8442 | |
| (808) 987-5770 | |
| Not Available |
| Full Name | Mauna Kea Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 65-1158 Mamalahoa Hwy Ste 27a, Kamuela, Hawaii |
| Authorized Official Name and Position | Luke Tarver (DENTIST) |
| Authorized Official Contact | 8089875770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauna Kea Dental Llc 65-1158 Mamalahoa Hwy Ste 27a Kamuela HI 96743-8442 Ph: (808) 987-5770 | Mauna Kea Dental Llc 65-1158 Mamalahoa Hwy Ste 27a Kamuela HI 96743-8442 Ph: (808) 987-5770 |
| NPI Number | 1558042150 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558042150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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