| Robert K. Azama, D.m.d. | |
|
850 Kamehameha Hwy Ste 115 Pearl City HI 96782-2603 | |
| (808) 455-8577 | |
| Not Available |
| Full Name | Robert K. Azama, D.m.d. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 850 Kamehameha Hwy Ste 115, Pearl City, Hawaii |
| Authorized Official Name and Position | Robert K. Azama (OWNER) |
| Authorized Official Contact | 8084558577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert K. Azama, D.m.d. 850 Kamehameha Hwy Ste 115 Pearl City HI 96782-2603 Ph: (808) 455-8577 | Robert K. Azama, D.m.d. 850 Kamehameha Hwy Ste 115 Pearl City HI 96782-2603 Ph: (808) 455-8577 |
| NPI Number | 1932695327 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932695327 | NPI | - | NPPES |
| 04141401 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1072 (Hawaii) | Primary |
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