| Kyriakakis Dental Inc | |
|
1953 S Beretania St Suite 3a Honolulu HI 96826-1300 | |
| (808) 791-0200 | |
| (808) 791-0201 |
| Full Name | Kyriakakis Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1953 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Nicholas Kyriakakis (VICE PRESIDENT) |
| Authorized Official Contact | 8087910200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyriakakis Dental Inc 1953 S Beretania St Suite 3a Honolulu HI 96826-1300 Ph: (808) 791-0200 | Kyriakakis Dental Inc 1953 S Beretania St Suite 3a Honolulu HI 96826-1300 Ph: (808) 791-0200 |
| NPI Number | 1447550728 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447550728 | NPI | - | NPPES |
| 540056-03 | Medicaid | HI | |
| 545460-02 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2025 (Hawaii) | Secondary |
| 122300000X | Dentist | 2070 (Hawaii) | Primary |
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