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MILL TOWN DENTAL CLINIC LLC NPI 1194851923


NPI Information

NPI: 1194851923
Provider Name: MILL TOWN DENTAL CLINIC, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
94-428 MOKUOLA ST
SUITE 104
WAIPAHU, HI
ZIP 96797
Phone: (808) 678-8300
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MILL TOWN DENTAL CLINIC, LLC is a general practice dentist in Waipahu, HI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MILL TOWN DENTAL CLINIC, LLC NPI is 1194851923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

94-428 MOKUOLA ST
SUITE 104
WAIPAHU, HI
ZIP 96797-396
Phone: (808) 678-8300
Fax: (808) 678-8303

The provider's authorized official is Marilou Cabalo Cababat .
The authorized official title is Dentist and has the following contact phone number (808) 678-8300.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDT-1990HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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