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Contact Information

12TH AVENUE DENTAL CENTRE, LLC
1144 12TH AVE
HONOLULU, HI96816-3712
 Phone: 808-737-3311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for 12TH AVENUE DENTAL CENTRE, LLC

NPI # 1457724940
LBN Legal business name 12TH AVENUE DENTAL CENTRE, LLC
Authorized official PATRICK HAYASHI - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2015
Last updated 11/05/2015 - About 11 years ago
Identifiers
HI License # 1514
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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