Hawai I Mobile Dental INC

NPI #1598482614 in Mililani, Hawaii

Provider Information

NPI Number: 1598482614
Entity Type: Organization
Organization Name: Hawai I Mobile Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 20, 2022
Last Updated: Jan 18, 2023

Practice Location

Address: 95-390 KUAHELANI AVE
Address 2: 3AC-1193
City: Mililani
State: Hawaii
ZIP Code: 96789-1192
Phone: (808) 201-9273

Authorized Official

Name: DR. BRADLEY THOMAS-TERROLL HAWKINS, DDS
Title: GENERAL DENTIST/PRESIDENT
Phone: (808) 201-9273

Specialties & Taxonomy Codes

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

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