| Hawaiian Island Dental, Inc. | |
| 
					4370 Kukui Grove St Suite 211 Lihue HI 96766-2001  | |
| (808) 245-8866 | |
| (808) 246-0698 | 
| Full Name | Hawaiian Island Dental, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 4370 Kukui Grove St, Lihue, Hawaii | 
| Authorized Official Name and Position | Randall P Jaurequi (OWNER) | 
| Authorized Official Contact | 8082458866 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hawaiian Island Dental, Inc. 4370 Kukui Grove St Suite 211 Lihue HI 96766-2001 Ph: (808) 245-8866  | Hawaiian Island Dental, Inc. 4370 Kukui Grove St Suite 211 Lihue HI 96766-2001 Ph: (808) 245-8866  | 
| NPI Number | 1316278906 | 
|---|---|
| Provider Enumeration Date | 01/20/2010 | 
| Last Update Date | 08/01/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316278906 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HI2009 (Hawaii) | Primary | 
Ivan Chuah Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4347 Rice St, Suite 201, Lihue, HI 96766 Phone: 808-246-4881 Fax: 808-246-4882  | |
Kidshine Lihue Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4180 Rice St Ste 105, Lihue, HI 96766 Phone: 808-245-2131  | |
Craig R Haruki Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4359 Kukui Grove St, 101, Lihue, HI 96766 Phone: 808-245-3003  | |
Joseph H. Chu, Dds, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4370 Kukui Grove St, Suite 212, Lihue, HI 96766 Phone: 808-482-3060  | |
Paul H Yoo Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4473 Pahee St. Unit R, Lihue, HI 96766 Phone: 808-240-2656  | |
Cathy N. Tsunehiro Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3135 Akahi St, Lihue, HI 96766 Phone: 808-246-6370  | |
Pacific Rim Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4366 Kukui Grove St, 204, Lihue, HI 96766 Phone: 808-378-4754 Fax: 808-748-0389  |