| Kalaheo Dental Group | |
|
2-2514 Kaumualii Hwy Ste 204 Kalaheo HI 96741-8304 | |
| (808) 332-9445 | |
| (808) 332-9632 |
| Full Name | Kalaheo Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2-2514 Kaumualii Hwy Ste 204, Kalaheo, Hawaii |
| Authorized Official Name and Position | Terry R Alen (OWNER/DENTIST) |
| Authorized Official Contact | 8083329445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalaheo Dental Group 2-2514 Kaumualii Hwy Ste 204 Kalaheo HI 96741-8304 Ph: (808) 332-9445 | Kalaheo Dental Group 2-2514 Kaumualii Hwy Ste 204 Kalaheo HI 96741-8304 Ph: (808) 332-9445 |
| NPI Number | 1558505594 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558505594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1632 (Hawaii) | Primary |
Scott S. Shimabukuro, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2-2389 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-332-7088 Fax: 808-332-7045 | |
Michael Lutwin, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2-2514 Kaumualii Hwy, Suite 204, Kalaheo, HI 96741 Phone: 808-332-9445 | |
Shimabukuro Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2-2389 Kaumualii Highway, Kalaheo, HI 96741 Phone: 808-332-7088 |