Waikoloa Dental Clinic INC

NPI #1003228982 in Waikoloa, Hawaii

Provider Information

NPI Number: 1003228982
Entity Type: Organization
Organization Name: Waikoloa Dental Clinic INC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2014
Last Updated: May 27, 2014

Practice Location

Address: 69-201 WAIKOLOA BEACH DR STE 2615
City: Waikoloa
State: Hawaii
ZIP Code: 96738-5815
Phone: (808) 886-0891

Authorized Official

Name: DR. CRAIG G FOSTVEDT, DDS
Title: DENTIST/OWNER
Phone: (808) 886-0891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Craig G Fostvedt, DDS	Dentist - General Practice	Waikoloa	AI Deep Dive
DR. Wayne S. H. Leong, D.D.S.	Dentist - General Practice	Hilo	AI Deep Dive
DR. Roger T. L. Wong	Dentist - General Practice	Honolulu	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Hawaii Dental Group, Inc. Part of Hawaii Dental Group, Inc.	Dentist - General Practice	Waikoloa	AI Deep Dive

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