| Alex Matsumoto Dmd | |
|
91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 | |
| (808) 689-7964 | |
| Not Available |
| Full Name | Alex Matsumoto Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Alex Akio Matsumoto (OWNER) |
| Authorized Official Contact | 8082841493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Matsumoto Dmd 2916 Pahoehoe Pl Honolulu HI 96817-1413 Ph: (808) 284-1493 | Alex Matsumoto Dmd 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 |
| NPI Number | 1003322421 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003322421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT2716 (Hawaii) | Primary |
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