# KONA CENTER OF FACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063647931
- **Authorized official:** DR. JOAN M GRECO DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (808) 885-9000

## Contact information

- **Practice address:** 65-1230 MAMALAHOA HWY, C10-12, KAMUELA, HI 96743-8318
- **Practice address phone:** (808) 885-9000
- **Mailing address:** 65-1230 MAMALAHOA HWY, C10-12, KAMUELA, HI 96743-8318
- **Mailing address phone:** (808) 885-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DT1813 | HI | Yes |

## Other

- **Enumeration date:** 05/21/2009
- **Last updated:** 05/21/2009