Individual
DR. STEVEN KENNETH ERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 321, AIEA, HI 96701-5311
(808) 487-5596
Mailing address
98-1247 KAAHUMANU ST, SUITE 321, AIEA, HI 96701-5311
(808) 487-5596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1173
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00916201
—
HI
01
—
1173
HAWAII DENTAL SERVICE
HI
01
—
768540
UNITED CONCORDIA
HI
01
—
934-0
HMSA
HI
Enumeration date
08/01/2006
Last updated
07/08/2007
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