| Kaneohe Kids Dental Llc | |
|
46-005 Kawa St Ste 301 Kaneohe HI 96744-3813 | |
| (808) 235-0550 | |
| (808) 234-1166 |
| Full Name | Kaneohe Kids Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 46-005 Kawa St Ste 301, Kaneohe, Hawaii |
| Authorized Official Name and Position | Christopher Yim (OWNER) |
| Authorized Official Contact | 8083419932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaneohe Kids Dental Llc 46-005 Kawa St Ste 301 Kaneohe HI 96744-3813 Ph: (808) 235-0550 | Kaneohe Kids Dental Llc 46-005 Kawa St Ste 301 Kaneohe HI 96744-3813 Ph: (808) 235-0550 |
| NPI Number | 1093427643 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093427643 | NPI | - | NPPES |
| 80292701 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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