Individual
DR. ROBERT M ATEBARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 PONAHAWAI ST, SUITE 202, HILO, HI 96720-3074
(808) 961-3031
Mailing address
275 PONAHAWAI ST, SUITE 202, HILO, HI 96720-3074
(808) 961-3031
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
901
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8677-8
HMSA DENTAL
HI
01
—
901
HDS DELTA DENTAL
HI
Enumeration date
02/27/2006
Last updated
07/08/2007
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