| Kuhio Pediatric Dental Llc | |
|
3-3359 Kuhio Hwy Lihue HI 96766-1061 | |
| (808) 378-4869 | |
| (808) 320-3329 |
| Full Name | Kuhio Pediatric Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3-3359 Kuhio Hwy, Lihue, Hawaii |
| Authorized Official Name and Position | Randall P Jaurequi (OWNER/ DENTIST) |
| Authorized Official Contact | 8083784869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuhio Pediatric Dental Llc 3-3359 Kuhio Hwy Lihue HI 96766-1031 Ph: (808) 378-4869 | Kuhio Pediatric Dental Llc 3-3359 Kuhio Hwy Lihue HI 96766-1061 Ph: (808) 378-4869 |
| NPI Number | 1689123200 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689123200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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