| West Oahu Dental Center Llc | |
|
1001 Kamokila Blvd Suite 157 Kapolei HI 96707-2014 | |
| (808) 692-8888 | |
| (808) 692-8884 |
| Full Name | West Oahu Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Kamokila Blvd, Kapolei, Hawaii |
| Authorized Official Name and Position | Genara Dabu Alcantra (DENTIST) |
| Authorized Official Contact | 8086928888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Oahu Dental Center Llc 1001 Kamokila Blvd Suite 157 Kapolei HI 96707-2014 Ph: (808) 692-8888 | West Oahu Dental Center Llc 1001 Kamokila Blvd Suite 157 Kapolei HI 96707-2014 Ph: (808) 692-8888 |
| NPI Number | 1285934554 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285934554 | NPI | - | NPPES |
| 58619102 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT2258 (Hawaii) | Primary |
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