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Oral Surgery, Dental Specialists

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JOAN M GRECO DDS

Oral and Maxillofacial Surgery

Kamuela, Hawaii

Provider NPI: 1750444030

Provider Information:
 JOAN M GRECO DDS
Gender: F
Sole Proprietor


Practice Location:
65-1230 MAMALAHOA HWY STE C10  KAMUELA, HI 96743 US
Tel: 808-885-9000  Fax: --

Business Mailing Address:
65-1230 MAMALAHOA HWY STE C10  KAMUELA, HI 96743 US
Tel: 808-885-9000  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
HIDT 1813

Other Provider Identifiers:

IssuerNumberStateType
HMSA AND BCBS38042HI01
03442901HI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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