| Ivan Chuah Llc | |
|
4347 Rice St Suite 201 Lihue HI 96766 | |
| (808) 246-4881 | |
| (808) 246-4882 |
| Full Name | Ivan Chuah Llc |
|---|---|
| Speciality | Dentist |
| Location | 4347 Rice St, Lihue, Hawaii |
| Authorized Official Name and Position | Ivan Chuah (SOLE PROPRIETOR) |
| Authorized Official Contact | 8082464881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Chuah Llc 4347 Rice St Suite 201 Lihue HI 96766 Ph: (808) 246-4881 | Ivan Chuah Llc 4347 Rice St Suite 201 Lihue HI 96766 Ph: (808) 246-4881 |
| NPI Number | 1003308271 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003308271 | NPI | - | NPPES |
| 68781602 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT-2458 (Hawaii) | Primary |
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