Emerald Island Oral Facial Surgery, Inc. | |
4414 Kukui Grove St Suite #103 Lihue HI 96766-2016 | |
(808) 245-9339 | |
Not Available |
Full Name | Emerald Island Oral Facial Surgery, Inc. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4414 Kukui Grove St, Lihue, Hawaii |
Authorized Official Name and Position | David H. Russell (PRESIDENT) |
Authorized Official Contact | 8082459339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emerald Island Oral Facial Surgery, Inc. 4381 Kukui Grove St Unit 101 Lihue HI 96766-1639 Ph: (808) 245-9339 | Emerald Island Oral Facial Surgery, Inc. 4414 Kukui Grove St Suite #103 Lihue HI 96766-2016 Ph: (808) 245-9339 |
NPI Number | 1710199054 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 06/25/2024 |
Identifier | Type | State | Issuer |
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1710199054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DT1886 (Hawaii) | Primary |
Ivan Chuah Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4347 Rice St, Suite 201, Lihue, HI 96766 Phone: 808-246-4881 Fax: 808-246-4882 | |
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