| Wailea Dental | |
|
161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521 | |
| (808) 875-8555 | |
| Not Available |
| Full Name | Wailea Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 161 Wailea Ike Pl, Wailea, Hawaii |
| Authorized Official Name and Position | Jeffrey C Olson (OWNER/DENTIST) |
| Authorized Official Contact | 8088758555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wailea Dental 161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521 Ph: (808) 875-8555 | Wailea Dental 161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521 Ph: (808) 875-8555 |
| NPI Number | 1659449023 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659449023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2487 (Hawaii) | Primary |