12th Avenue Dental Centre, LLC
Dentist in Honolulu, HI. Organization (NPI-2).
NPI number1457724940
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1457724940
- Entity type
- Organization (NPI-2)
- Legal business name
- 12th Avenue Dental Centre, LLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2015
- Last updated
- Nov 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1514 | HI | Yes |
Practice location
1144 12th AveHonolulu, HI 96816-3712
Phone 808-737-3311
Mailing address
1144 12th AveHonolulu, HI 96816-3712
Phone 808-737-3311
Authorized official
Patrick Hayashi
Member
8087373311
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