| Conrad C Theiss Dmd Inc | |
|
33 Lono Ave Suite 210 Kahului HI 96732 | |
| (808) 877-3605 | |
| Not Available |
| Full Name | Conrad C Theiss Dmd Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 33 Lono Ave Suite 210, Kahului, Hawaii |
| Authorized Official Name and Position | Conrad C Theiss (PERIODONTIST) |
| Authorized Official Contact | 8088773605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad C Theiss Dmd Inc 33 Lono Ave Ste 210 Kahului HI 96732-1632 Ph: () - | Conrad C Theiss Dmd Inc 33 Lono Ave Suite 210 Kahului HI 96732 Ph: (808) 877-3605 |
| NPI Number | 1194054940 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194054940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DT0971 (Guam) | Primary |
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