Organization
PACIFIC RIM DENTAL GROUP, LLC
Active
Other names
Lihue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ROBERT ALLEN DDS (DENTIST/OWNER)
(808) 378-4754
Entity
Organization
Contact information
Practice address
4366 KUKUI GROVE ST, 204, LIHUE, HI 96766-2006
(808) 378-4754
(808) 748-0389
Mailing address
4366 KUKUI GROVE ST, 204, LIHUE, HI 96766-2006
(808) 378-4754
(808) 748-0389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1632
HI
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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