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Individual
DR. CLYDE G.C. MEW
Active
Individual
DR. CLYDE G.C. MEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.SC.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
942
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8811-2
HMSA BLUECROSSBLUESHIELD
HI
01
—
942
HAWAII DENTAL LICENSE #
HI
Enumeration date
08/30/2006
Last updated
07/08/2007
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