Tina N. Tom, Dds A Professional Corporation | |
1600 Kapiolani Blvd Ste 807 Honolulu HI 96814-3802 | |
(808) 778-4929 | |
Not Available |
Full Name | Tina N. Tom, Dds A Professional Corporation |
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Speciality | Dentist - General Practice |
Location | 1600 Kapiolani Blvd Ste 807, Honolulu, Hawaii |
Authorized Official Name and Position | Tina N Tom (PRESIDENT/OWNER) |
Authorized Official Contact | 8087784929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tina N. Tom, Dds A Professional Corporation 1600 Kapiolani Blvd Ste 807 Honolulu HI 96814-3802 Ph: (808) 778-4929 | Tina N. Tom, Dds A Professional Corporation 1600 Kapiolani Blvd Ste 807 Honolulu HI 96814-3802 Ph: (808) 778-4929 |
NPI Number | 1396097259 |
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Provider Enumeration Date | 10/02/2012 |
Last Update Date | 10/02/2012 |
Identifier | Type | State | Issuer |
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1396097259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DT1704 (Hawaii) | Primary |
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