MEDICARE: DR. CECILE DALUPAN SEBASTIAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	1706	HI

General Provider Information

NPI Number	:	1952418170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILE DALUPAN SEBASTIAN D.D.S.

Provider Business Mailing Address
First Line	:	1003 BISHOP ST
Second Line	:	PAUAHI TOWER, SUITE 340
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-537-2880
Fax Number	:	808-537-1553

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST
Second Line	:	PAUAHI TOWER, SUITE 340
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-537-2880
Fax Number	:	808-537-1553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	11/26/2007

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