| Kahului Dental | |
|
33 Lono Ave Ste 370 Kahului HI 96732-1636 | |
| (808) 871-6337 | |
| Not Available |
| Full Name | Kahului Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Lono Ave Ste 370, Kahului, Hawaii |
| Authorized Official Name and Position | Trace Ryan Baxter (OWNER) |
| Authorized Official Contact | 8088716337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kahului Dental 33 Lono Ave Ste 370 Kahului HI 96732-1636 Ph: (808) 871-6337 | Kahului Dental 33 Lono Ave Ste 370 Kahului HI 96732-1636 Ph: (808) 871-6337 |
| NPI Number | 1689045379 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689045379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT4292 (Hawaii) | Primary |
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