NPI 1003228982
Waikoloa Dental Clinic INC
Practice location
- Address
- 69-201 Waikoloa Beach Dr STE 2615, Waikoloa, HI 96738-5815
- Phone
- (808) 886-0891
- Fax
- (808) 886-0892
- Mailing address
- 69-201 Waikoloa Beach Drive # 2615, Waikoloa, HI 96738
Authorised official
- Name
- Craig G Fostvedt
- Title
- Dentist/Owner
- Phone
- (808) 886-0891
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003228982
- Entity type
- Organization
- NPI issued
- 27 May 2014
- Record last updated
- 27 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.