| Island Dental, Llc | |
|
444 Hana Hwy Ste 210 Kahului HI 96732-2315 | |
| (808) 877-3000 | |
| Not Available |
| Full Name | Island Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 444 Hana Hwy Ste 210, Kahului, Hawaii |
| Authorized Official Name and Position | John J. Dugan (OWNER) |
| Authorized Official Contact | 8088773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Dental, Llc 444 Hana Hwy Ste 210 Kahului HI 96732-2315 Ph: (808) 877-3000 | Island Dental, Llc 444 Hana Hwy Ste 210 Kahului HI 96732-2315 Ph: (808) 877-3000 |
| NPI Number | 1568606101 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568606101 | NPI | - | NPPES |
| 1485 | Other | HI | STATE OF HAWAII |
| 1447463542 | Other | HI | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1485 (Hawaii) | Primary |
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