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Organization

FREDRIC C GAETA DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FREDRIC C GAETA DDS (OWNER)
(808) 329-3314
Entity
Organization

Contact information

Practice address
75-5706 HANAMA PL, SUITE 105A, KAILUA KONA, HI 96740-1745
(808) 329-3314
(808) 329-1354
Mailing address
75-5706 HANAMA PL, SUITE 105A, KAILUA KONA, HI 96740-1745
(808) 329-3314
(808) 329-1354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1156
HI

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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