| Premier Dental Group Hi Inc | |
|
98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 | |
| (808) 342-8611 | |
| Not Available |
| Full Name | Premier Dental Group Hi Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 98-211 Pali Momi St, Aiea, Hawaii |
| Authorized Official Name and Position | Glenn Y Takaki (PRESIDENT) |
| Authorized Official Contact | 8084871554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Group Hi Inc 98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 Ph: (808) 342-8611 | Premier Dental Group Hi Inc 98-211 Pali Momi St Suite 737 Aiea HI 96701-4301 Ph: (808) 342-8611 |
| NPI Number | 1407395668 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407395668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT2107 (Hawaii) | Primary |
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