Fredric C Gaeta Dds

NPI 1043606270 - Dentist - 1223G0001X

NPI Details
NPI 1043606270
Enumeration Date 04/14/2015
Last Updated 04/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name FREDRIC C FREDRIC
Position OWNER
Phone (808) 329-3314
Fax (808) 329-1354
Practice Location
75-5706 HANAMA PL
SUITE 105A
KAILUA KONA HI, 96740-1745, US
Phone (808) 329-3314
Fax (808) 329-1354
Business Location
75-5706 HANAMA PL
SUITE 105A
KAILUA KONA HI, 96740-1745, US
Phone (808) 329-3314
Fax (808) 329-1354
Toxanomy
Taxonomy Code 1223G0001X
License State Hawaii
License Number 1156
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According to our database, Fredric C Gaeta Dds NPI is 1043606270, taxonomy code is 1223G0001X and license number is 1156, license state is located at Hawaii. Fredric C Gaeta Dds physically located at 75-5706 Hanama Pl, Kailua Kona HI, 96740-1745. NPI Number 1033115704 has the healthcare provider type.

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1043606270 NPI number is provided on an as is basis without warranty of any kind. 1043606270 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric C Gaeta Dds are for informational purposes only.