| Kauai Dentistry, Inc. | |
|
2964 Ewalu St Ste#2 Lihue HI 96766-1377 | |
| (808) 245-2727 | |
| (808) 245-4747 |
| Full Name | Kauai Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2964 Ewalu St, Lihue, Hawaii |
| Authorized Official Name and Position | Coy Richard Rebmann (OWNER) |
| Authorized Official Contact | 8082452727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kauai Dentistry, Inc. 2964 Ewalu St Ste#2 Lihue HI 96766-1377 Ph: (808) 245-2727 | Kauai Dentistry, Inc. 2964 Ewalu St Ste#2 Lihue HI 96766-1377 Ph: (808) 245-2727 |
| NPI Number | 1235594839 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235594839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT-1845 (Hawaii) | Primary |
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