Dept. of Health-Hawaii-Developmental Disabilities Division Cmu2

NPI #1336493352 in Kapolei, Hawaii

Provider Information

NPI Number: 1336493352
Entity Type: Organization
Organization Name: Dept. of Health-Hawaii-Developmental Disabilities Division Cmu2
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Oct 29, 2012
Last Updated: Oct 29, 2012

Practice Location

Address: 601 KAMOKILA BLVD
Address 2: ROOM 300 DDD-CMU2
City: Kapolei
State: Hawaii
ZIP Code: 96707-2023
Phone: (808) 587-6043

Authorized Official

Name: DR. DAVID FRAY, D.D.S.
Title: CHIEF
Phone: (808) 586-5842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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