| Lahaina Dental Group, Llc | |
|
845 Wainee St Ste 206 Lahaina HI 96761-1688 | |
| (808) 283-7077 | |
| Not Available |
| Full Name | Lahaina Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 Wainee St Ste 206, Lahaina, Hawaii |
| Authorized Official Name and Position | Matthew Dodson (MEMBER/MANAGER) |
| Authorized Official Contact | 8082837077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lahaina Dental Group, Llc Po Box 1671 Lahaina HI 96767-1671 Ph: (808) 283-7077 | Lahaina Dental Group, Llc 845 Wainee St Ste 206 Lahaina HI 96761-1688 Ph: (808) 283-7077 |
| NPI Number | 1427602663 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427602663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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