Organization
DENTAL FITNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITH CABUGON OAMIL-PACHO DMD (PRESIDENT)
(808) 677-5588
Entity
Organization
Contact information
Practice address
94-673 KUPUOHI STREET, SUITE C101, WAIPAHU, HI 96797-1124
(808) 677-5588
(808) 677-6588
Mailing address
94-673 KUPUOHI STREET, SUITE C101, WAIPAHU, HI 96797-1124
(808) 677-5588
(808) 677-6588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183094
ANTHEM
—
01
—
1948
HDS
—
01
—
7861159
AETNA
—
01
—
977589
UNITED CONCORDIA
—
01
—
DT1948
HMAA
—
Enumeration date
08/22/2006
Last updated
08/22/2020
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