| Hawai I Mobile Dental Inc | |
|
95-390 Kuahelani Ave 3ac-1193 Mililani HI 96789-1192 | |
| (808) 201-9273 | |
| Not Available |
| Full Name | Hawai I Mobile Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95-390 Kuahelani Ave, Mililani, Hawaii |
| Authorized Official Name and Position | Bradley Thomas-terroll Hawkins (GENERAL DENTIST/PRESIDENT) |
| Authorized Official Contact | 8082019273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawai I Mobile Dental Inc 95-390 Kuahelani Ave # 3ac-1193 Mililani HI 96789-1192 Ph: (808) 201-9273 | Hawai I Mobile Dental Inc 95-390 Kuahelani Ave 3ac-1193 Mililani HI 96789-1192 Ph: (808) 201-9273 |
| NPI Number | 1598482614 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598482614 | NPI | - | NPPES |
| 15743316 | Other | HI | ADA CREDENTIALLING PORTAL: CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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