| Nora K. Harmsen, D.d.s., Inc. | |
|
730 Lanai Avenue Suite 101 Lanai City HI 96763-0069 | |
| (808) 565-6418 | |
| (808) 565-6742 |
| Full Name | Nora K. Harmsen, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 730 Lanai Avenue, Lanai City, Hawaii |
| Authorized Official Name and Position | Nora K Harmsen (OWNER) |
| Authorized Official Contact | 8085656418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nora K. Harmsen, D.d.s., Inc. Po Box 630069 Lanai City HI 96763-0069 Ph: (808) 565-6418 | Nora K. Harmsen, D.d.s., Inc. 730 Lanai Avenue Suite 101 Lanai City HI 96763-0069 Ph: (808) 565-6418 |
| NPI Number | 1366675613 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366675613 | NPI | - | NPPES |
| DT1969 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DT1969 (Hawaii) | Primary |
Hawaii Dental Clinic Lanai Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Lanai Avenue #101, Lanai City, HI 96763 Phone: 808-565-6418 |