NPI 1184089765

Pacific Rim Dental Group, LLC

Organisation General Practice Dentistry Lihue, HI

Practice location

Address: 4366 Kukui Grove St 204, Lihue, HI 96766-2006
Phone: (808) 378-4754
Fax: (808) 748-0389

Authorised official

Name: Terry Robert Allen
Title: Dentist/Owner
Phone: (808) 378-4754

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1632 (HI)

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Registry record

NPI: 1184089765
Entity type: Organization
NPI issued: 23 Dec 2015
Record last updated: 23 Dec 2015

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.