12th Avenue Dental Centre LLC

NPI #1164750246 in Honolulu, Hawaii

Provider Information

NPI Number: 1164750246
Entity Type: Organization
Organization Name: 12th Avenue Dental Centre LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 30, 2009
Last Updated: Nov 30, 2009

Practice Location

Address: 1144 12TH AVE
City: Honolulu
State: Hawaii
ZIP Code: 96816-3712
Phone: (808) 737-3311

Authorized Official

Name: DR. PATRICK C HAYASHI, D.D.S.
Title: DENTIST
Phone: (808) 737-3311

Specialties & Taxonomy Codes

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

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