| Diamond Head Dental Care Pcg Corp | |
|
1160 Kuala St Ste 200 Pearl City HI 96782-2962 | |
| (808) 735-8883 | |
| (808) 732-0240 |
| Full Name | Diamond Head Dental Care Pcg Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1160 Kuala St Ste 200, Pearl City, Hawaii |
| Authorized Official Name and Position | David Matto (OWNER DENTIST) |
| Authorized Official Contact | 8082861714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Head Dental Care Pcg Corp 6370 Hawaii Kai Dr Apt 35 Honolulu HI 96825-5215 Ph: (808) 286-1714 | Diamond Head Dental Care Pcg Corp 1160 Kuala St Ste 200 Pearl City HI 96782-2962 Ph: (808) 735-8883 |
| NPI Number | 1740863927 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740863927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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