| Mark K. Koizumi, D.d.s., Inc. | |
|
275 Ponahawai St Suite 103 Hilo HI 96720-3074 | |
| (808) 935-1149 | |
| Not Available |
| Full Name | Mark K. Koizumi, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 275 Ponahawai St, Hilo, Hawaii |
| Authorized Official Name and Position | Mark K. Koizumi (PRESIDENT) |
| Authorized Official Contact | 8089351149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K. Koizumi, D.d.s., Inc. 275 Ponahawai St Suite 103 Hilo HI 96720-3074 Ph: (808) 935-1149 | Mark K. Koizumi, D.d.s., Inc. 275 Ponahawai St Suite 103 Hilo HI 96720-3074 Ph: (808) 935-1149 |
| NPI Number | 1538373972 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538373972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DT-1380 (Hawaii) | Primary |
Mauna Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Ponahawai St Ste 201, Hilo, HI 96720 Phone: 808-935-5488 | |
Mobile Care Health Project Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Holomua St, Hilo, HI 96720 Phone: 808-935-3050 Fax: 808-969-4874 | |
Gracedental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 E Lanikaula St Ste B, Hilo, HI 96720 Phone: 808-969-3830 | |
Office For Social Ministry Mobile Care Health Project Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Holomua St Ste B, Hilo, HI 96720 Phone: 808-935-3050 Fax: 808-935-3794 | |
Wayne S H Leong, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Puuhonu Pl, Suite 201, Hilo, HI 96720 Phone: 808-935-3552 Fax: 808-935-0241 | |
Robert M Atebara, Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Ponahawai St, Suite 202, Hilo, HI 96720 Phone: 808-961-3031 | |
Kyle S.q. Chock, D.m.d., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Ululani St, Hilo, HI 96720 Phone: 808-961-2878 Fax: 808-933-1651 |