Individual
JOAN M GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
65-1230 MAMALAHOA HWY STE C10, KAMUELA, HI 96743-8445
(808) 885-9000
Mailing address
65-1230 MAMALAHOA HWY STE C10, KAMUELA, HI 96743-8445
(808) 885-9000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT 1813
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03442901
—
HI
01
—
38042
HMSA AND BCBS
HI
Enumeration date
12/18/2006
Last updated
07/08/2007
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