Organization
MILL TOWN DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILOU CABALO CABABAT D.M.D. (DENTIST)
(808) 678-8300
Entity
Organization
Contact information
Practice address
94-428 MOKUOLA ST, SUITE 104, WAIPAHU, HI 96797-3396
(808) 678-8300
(808) 678-8303
Mailing address
94-428 MOKUOLA ST, SUITE 104, WAIPAHU, HI 96797-3396
(808) 678-8300
(808) 678-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1990
HI
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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