| Enchanted Lake Dental Llc | |
|
1058 Keolu Dr Ste B104 Kailua HI 96734-3844 | |
| (808) 261-6767 | |
| Not Available |
| Full Name | Enchanted Lake Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1058 Keolu Dr Ste B104, Kailua, Hawaii |
| Authorized Official Name and Position | Justin Sjulson (OWNER) |
| Authorized Official Contact | 9523530411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enchanted Lake Dental Llc 1058 Keolu Dr Ste B104 Kailua HI 96734-3844 Ph: (808) 261-6767 | Enchanted Lake Dental Llc 1058 Keolu Dr Ste B104 Kailua HI 96734-3844 Ph: (808) 261-6767 |
| NPI Number | 1588355267 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588355267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Soh Partnership Of Hawaii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Uluniu St Ste 105, Kailua, HI 96734 Phone: 808-261-4696 | |
Island Dentistry For Children Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Aulike St, Suite 503, Kailua, HI 96734 Phone: 808-384-4579 Fax: 808-261-1449 | |
Glenn M Kaneda Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Aulike St, Suite 45, Kailua, HI 96734 Phone: 808-262-6000 | |
Ernest Y.k. Lau Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Uluniu St Ste 203, Kailua, HI 96734 Phone: 808-261-5211 Fax: 808-262-6875 | |
Bradley K. Hook Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Uluniu Street, Suite #105, Kailua, HI 96734 Phone: 808-241-4696 Fax: 808-263-7897 | |
Periocare Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Aulike St Ste 501, Kailua, HI 96734 Phone: 808-263-1100 Fax: 808-263-0111 | |
M Oishi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Aulike Street, Ste 204, Kailua, HI 96734 Phone: 808-262-4792 |