| Pacific Maxillofacial Center, Llc | |
|
1060 Young St Suite 312 Honolulu HI 96814-1609 | |
| (808) 585-8455 | |
| (808) 585-8458 |
| Full Name | Pacific Maxillofacial Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1060 Young St, Honolulu, Hawaii |
| Authorized Official Name and Position | Todd K Haruki (PRESIDENT) |
| Authorized Official Contact | 8085858455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Maxillofacial Center, Llc 1060 Young St Suite 312 Honolulu HI 96814-1609 Ph: (808) 585-8455 | Pacific Maxillofacial Center, Llc 1060 Young St Suite 312 Honolulu HI 96814-1609 Ph: (808) 585-8455 |
| NPI Number | 1518986579 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518986579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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