Organization
12TH AVENUE DENTAL CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK HAYASHI D.D.S. (MEMBER)
(808) 737-3311
Entity
Organization
Contact information
Practice address
1144 12TH AVE, HONOLULU, HI 96816-3712
(808) 737-3311
Mailing address
1144 12TH AVE, HONOLULU, HI 96816-3712
(808) 737-3311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1514
HI
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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