| Healthy Smiles Family Dental, Inc. | |
|
579 Farrington Hwy Suite 201 Kapolei HI 96707-2027 | |
| (808) 674-1400 | |
| (808) 674-1499 |
| Full Name | Healthy Smiles Family Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 579 Farrington Hwy, Kapolei, Hawaii |
| Authorized Official Name and Position | Ricardo Eugenio Fernandez (PRESIDENT/VP/TREASURER) |
| Authorized Official Contact | 8086741400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Family Dental, Inc. 579 Farrington Hwy Suite 201 Kapolei HI 96707-2027 Ph: (808) 674-1400 | Healthy Smiles Family Dental, Inc. 579 Farrington Hwy Suite 201 Kapolei HI 96707-2027 Ph: (808) 674-1400 |
| NPI Number | 1831290048 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831290048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT-1901 (Hawaii) | Primary |
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