Individual
DR. MATTHEW S. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
338 KAMOKILA BLVD STE 203, KAPOLEI, HI 96707-2055
(808) 674-2255
(808) 674-1771
Mailing address
338 KAMOKILA BLVD STE 203, KAPOLEI, HI 96707-2055
(808) 674-2255
(808) 674-1771
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7902
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT-2353
HI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD-14911
HI
Other
Enumeration date
02/12/2007
Last updated
10/28/2020
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