Organization
ALOHA FAMILY DENTAL LLC
Active
Other names
Kahului Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TRACE RYAN BAXTER DMD (OWNER)
(808) 871-6337
Entity
Organization
Contact information
Practice address
33 LONO AVE STE 370, KAHULUI, HI 96732-1636
(808) 871-6337
Mailing address
33 LONO AVE STE 370, KAHULUI, HI 96732-1636
(808) 871-6337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT4292
HI
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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