Organization
LAHAINA DENTAL GROUP, LLC
Active
Other names
West Maui Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DODSON DDS (MEMBER/MANAGER)
(808) 283-7077
Entity
Organization
Contact information
Practice address
845 WAINEE ST STE 206, LAHAINA, HI 96761-1688
(808) 283-7077
Mailing address
PO BOX 1671, LAHAINA, HI 96767-1671
(808) 283-7077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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