Dr Anthony Sung Gil Kim, DMD | |
41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | |
(808) 259-5466 | |
(808) 954-7144 |
Full Name | Dr Anthony Sung Gil Kim |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 41-1347 Kalanianaole Hwy, Waimanalo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801906813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DT2326 (Hawaii) | Primary |
Entity Name | Waimanalo Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780738005 PECOS PAC ID: 8527029198 Enrollment ID: O20041026001073 |
Mailing Address | Practice Location Address |
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Dr Anthony Sung Gil Kim, DMD 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 Ph: (808) 259-5466 | Dr Anthony Sung Gil Kim, DMD 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 Ph: (808) 259-5466 |
Nicole Koochi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795 Phone: 808-954-7137 | |
Dr. Ryan Takeshi Inouye, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795 Phone: 808-259-5466 Fax: 808-954-7144 | |
Dr. Gerald M B Wong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 411537 Kalanianaole Highway, Suite 10b, Waimanalo, HI 96795 Phone: 808-259-9454 Fax: 808-259-5714 |