Individual
DR. CLYDE G.C. MEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.SC.D.
Contact information
Practice address
2065 S KING ST, SUITE 209, HONOLULU, HI 96826-2225
(808) 947-4222
Mailing address
2065 S KING ST, SUITE 209, HONOLULU, HI 96826-2225
(808) 947-4222
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
942
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8811-2
HMSA BLUECROSSBLUESHIELD
HI
01
—
942
HAWAII DENTAL LICENSE #
HI
Enumeration date
08/30/2006
Last updated
07/08/2007
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