| Fredric C Gaeta Dds | |
|
75-5706 Hanama Pl Suite 105a Kailua Kona HI 96740-1745 | |
| (808) 329-3314 | |
| (808) 329-1354 |
| Full Name | Fredric C Gaeta Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 75-5706 Hanama Pl, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Fredric C Gaeta (OWNER) |
| Authorized Official Contact | 8083293314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredric C Gaeta Dds 75-5706 Hanama Pl Suite 105a Kailua Kona HI 96740-1745 Ph: (808) 329-3314 | Fredric C Gaeta Dds 75-5706 Hanama Pl Suite 105a Kailua Kona HI 96740-1745 Ph: (808) 329-3314 |
| NPI Number | 1043606270 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043606270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1156 (Hawaii) | Primary |
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