Organization
HAWAII DENTAL IMPLANT CENTER LLC
Active
Other names
Pacific Dental & Implant Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JMI L ASAM DMD (MEMBER)
(808) 781-9964
Entity
Organization
Contact information
Practice address
4211 WAIALAE AVE, SUITE 102, HONOLULU, HI 96816-5319
(808) 737-6150
Mailing address
4211 WAIALAE AVE, SUITE 102, HONOLULU, HI 96816-5319
(808) 737-6150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT-2153
HI
1223G0001X
General Practice Dentistry
Primary
DT-2153
HI
1223P0700X
Prosthodontics
DT-2153
HI
Other
Enumeration date
07/29/2009
Last updated
09/17/2013
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