Organization
THE QUEENS MEDICAL CENTER DENTAL CLINIC
Active
Other names
QMC Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR USHIJIMA (PRESIDENT & CEO)
(808) 547-4688
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4292
(808) 585-5028
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4292
(808) 585-5028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1920
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534819-01
—
HI
Enumeration date
05/14/2008
Last updated
05/14/2008
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