Sweetwater Dental L.l.c. | |
1136 Union Mall Suite 502 Honolulu HI 96813 | |
(808) 947-2929 | |
Not Available |
Full Name | Sweetwater Dental L.l.c. |
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Speciality | Dentist |
Location | 1136 Union Mall Suite 502, Honolulu, Hawaii |
Authorized Official Name and Position | Xiao Li Shelly Huang (OWNER - DENTIST) |
Authorized Official Contact | 8089472929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sweetwater Dental L.l.c. 1136 Union Mall Suite 502 Honolulu HI 96813 Ph: (808) 947-2929 | Sweetwater Dental L.l.c. 1136 Union Mall Suite 502 Honolulu HI 96813 Ph: (808) 947-2929 |
NPI Number | 1013334028 |
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Provider Enumeration Date | 03/27/2014 |
Last Update Date | 03/27/2014 |
Identifier | Type | State | Issuer |
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1013334028 | NPI | - | NPPES |
57533405 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2118 (Hawaii) | Primary |
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