| Periocare | |
|
30 Aulike St Ste 501 Kailua HI 96734-2752 | |
| (808) 263-1100 | |
| (808) 263-0111 |
| Full Name | Periocare |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 30 Aulike St Ste 501, Kailua, Hawaii |
| Authorized Official Name and Position | Braden C Seamons (OWNER) |
| Authorized Official Contact | 8082631100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periocare 30 Aulike St Ste 501 Kailua HI 96734-2752 Ph: (808) 263-1100 | Periocare 30 Aulike St Ste 501 Kailua HI 96734-2752 Ph: (808) 263-1100 |
| NPI Number | 1346570330 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346570330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1859 (Hawaii) | Primary |
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