| Maui Dental Professionals Llc | |
|
54 Maui Lani Pkwy Suite 2020 Wailuku HI 96793-2467 | |
| (808) 268-5175 | |
| Not Available |
| Full Name | Maui Dental Professionals Llc |
|---|---|
| Speciality | Dentist |
| Location | 54 Maui Lani Pkwy, Wailuku, Hawaii |
| Authorized Official Name and Position | Todd Girard (MANAGER/OWNER) |
| Authorized Official Contact | 8082685175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Dental Professionals Llc 54 Maui Lani Pkwy Suite 2020 Wailuku HI 96793-2467 Ph: () - | Maui Dental Professionals Llc 54 Maui Lani Pkwy Suite 2020 Wailuku HI 96793-2467 Ph: (808) 268-5175 |
| NPI Number | 1295111615 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295111615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT2142 (Hawaii) | Primary |
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