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68-1845 Waikoloa Rd Suite 205 Waikoloa HI 96738-5584 | |
(808) 883-9100 | |
(808) 883-1469 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 68-1845 Waikoloa Rd, Waikoloa, Hawaii |
Authorized Official Name and Position | Gary Kondo (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8085233103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 Ala Moana Blvd Suite 7-220 Honolulu HI 96813-4920 Ph: (808) 523-3103 | 68-1845 Waikoloa Rd Suite 205 Waikoloa HI 96738-5584 Ph: (808) 883-9100 |
NPI Number | 1780992503 |
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Provider Enumeration Date | 09/14/2010 |
Last Update Date | 09/14/2010 |
Identifier | Type | State | Issuer |
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1780992503 | NPI | - | NPPES |
Waikoloa Dental Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 69-201 Waikoloa Beach Dr Ste 2615, Waikoloa, HI 96738 Phone: 808-886-0891 Fax: 808-886-0892 |