NPI 1013433341

Mililani Dental INC.

Organisation Dental Clinic/Center Mililani, HI

Practice location

Address: 95-1249 Meheula Parkway 138, Mililani, HI 96789
Phone: (808) 625-6223
Mailing address: 95-1249 Meheula Pkwy STE 138, Mililani, HI 96789-1788

Authorised official

Name: Bradford Matiasevich
Title: Owner/Dentist
Phone: (808) 366-1097

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 2481 (HI)

Other Clinic/Center providers in Hawaii →

Registry record

NPI: 1013433341
Entity type: Organization
NPI issued: 18 Aug 2017
Record last updated: 16 Jun 2018

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.