Provider First Line Business Practice Location Address:
1257 KILAUEA AVE., SUITE 100
Provider Second Line Business Practice Location Address:
HILO FAMILY DENTAL CENTER
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-333-3456
Provider Business Practice Location Address Fax Number:
808-930-0438
Provider Enumeration Date:
02/25/2016