Organization
DENTAL IMPLANT ASSOCIATES, LLC
Active
Parent organization
DENTAL IMPLANT ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL IMPLANT ASSOCIATES, LLC
Authorized official
TERRY R NGUYEN DDS (OWNER)
(808) 969-1839
Entity
Organization
Contact information
Practice address
784 KINOOLE ST, HILO, HI 96720-3870
(808) 969-1839
(808) 969-1838
Mailing address
784 KINOOLE ST, HILO, HI 96720-3870
(808) 969-1839
(808) 969-1838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 2213
HI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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