# DIAMOND HEAD DENTAL CARE PCG CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diamond Head Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740863927
- **Authorized official:** DR. DAVID MATTO DMD (OWNER DENTIST)
- **Authorized official phone:** (808) 286-1714

## Contact information

- **Practice address:** 1160 KUALA ST STE 200, PEARL CITY, HI 96782-2962
- **Practice address phone:** (808) 735-8883
- **Practice address fax:** (808) 732-0240
- **Mailing address:** 6370 HAWAII KAI DR APT 35, HONOLULU, HI 96825-5215
- **Mailing address phone:** (808) 286-1714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 05/04/2021