| Clyde G.c. Mew, D.d.s., M.sc.d., Inc. | |
|
2065 S King St Suite 209 Honolulu HI 96826-2225 | |
| (808) 947-4222 | |
| Not Available |
| Full Name | Clyde G.c. Mew, D.d.s., M.sc.d., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2065 S King St, Honolulu, Hawaii |
| Authorized Official Name and Position | Clyde G.c. Mew (PRESIDENT & PERIODONTOLOGIST) |
| Authorized Official Contact | 8089474222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde G.c. Mew, D.d.s., M.sc.d., Inc. 2065 S King St Suite 209 Honolulu HI 96826-2225 Ph: (808) 947-4222 | Clyde G.c. Mew, D.d.s., M.sc.d., Inc. 2065 S King St Suite 209 Honolulu HI 96826-2225 Ph: (808) 947-4222 |
| NPI Number | 1023128857 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023128857 | NPI | - | NPPES |
| 942 | Other | HI | HAWAII DENTAL LICENSE # |
| 8811-2 | Other | HI | HMSA BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 942 (Hawaii) | Primary |
| 261QD0000X | Clinic/center - Dental | 942 (Hawaii) | Primary |
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