| Jennifer H. Hirota, Dds, Llc | |
|
91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 | |
| (808) 689-7964 | |
| (808) 689-0909 |
| Full Name | Jennifer H. Hirota, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Jennifer Hirota (OWNER) |
| Authorized Official Contact | 8086897964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer H. Hirota, Dds, Llc 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 | Jennifer H. Hirota, Dds, Llc 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 |
| NPI Number | 1093892234 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093892234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DT 2152 (Hawaii) | Primary |
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