Organization
PROJECT VISION HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE D MATHSON (DIRECTOR OF BUSINESS DEVELOPMENT)
(808) 430-0388
Entity
Organization
Contact information
Practice address
200 N VINEYARD BLVD STE B-120, HONOLULU, HI 96817-3950
(808) 201-3937
(833) 941-2390
Mailing address
PO BOX 23212, HONOLULU, HI 96823-3212
(808) 201-3937
(833) 941-2390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000068
—
HI
Enumeration date
04/18/2025
Last updated
04/18/2025
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