| Lyle T. Tenjoma Dds, Msd | |
|
91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 | |
| (808) 689-7964 | |
| Not Available |
| Full Name | Lyle T. Tenjoma Dds, Msd |
|---|---|
| Speciality | Dentist |
| Location | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Lyle T. Tenjoma (OWNER) |
| Authorized Official Contact | 8089414511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle T. Tenjoma Dds, Msd 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 | Lyle T. Tenjoma Dds, Msd 91-902 Fort Weaver Rd Ste 208 Ewa Beach HI 96706-2261 Ph: (808) 689-7964 |
| NPI Number | 1083094601 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083094601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1262 (Hawaii) | Primary |
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