| Edmund A. Cassella Dmd, Llc | |
|
1441 Kapiolani Blvd Ste 1506 Honolulu HI 96814-4407 | |
| (808) 955-1506 | |
| (808) 955-1551 |
| Full Name | Edmund A. Cassella Dmd, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1441 Kapiolani Blvd Ste 1506, Honolulu, Hawaii |
| Authorized Official Name and Position | Edmund A. Cassella (OWNER) |
| Authorized Official Contact | 8089551506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund A. Cassella Dmd, Llc 1441 Kapiolani Blvd Ste 1506 Honolulu HI 96814-4407 Ph: (808) 955-1506 | Edmund A. Cassella Dmd, Llc 1441 Kapiolani Blvd Ste 1506 Honolulu HI 96814-4407 Ph: (808) 955-1506 |
| NPI Number | 1275776189 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275776189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1748 (Hawaii) | Primary |
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