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Oral Surgery, Dental Specialists

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Kihei, Hawaii

Provider NPI: 1356659171

Organization Information:
Organization Name:  HAWAII DENTAL GROUP, INC.
Organization is Subpart
Authorized Official:  GARY  KONDO  CHIEF EXECUTIVE OFFICER  808-5233103

Practice Location:
1847 S KIHEI RD SUITE 101 KIHEI, HI 96753 US
Tel: 808-874-8401  Fax: 808-874-6921

Business Mailing Address:
Tel: 808-523-3103  Fax: 808-523-3122

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223E0200XDental Providers
N1223P0221XDental Providers
N1223P0300XDental Providers
N1223P0700XDental Providers
N1223X0400XDental Providers
N124Q00000XDental Providers
Dental Hygienist
N126800000XDental Providers
Dental Assistant
Y1223G0001XDental Providers


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