Dept. of Health-Hawaii-Developmental Disabilities Division Cmu4

NPI #1447504139 in Kaneohe, Hawaii

Provider Information

NPI Number: 1447504139
Entity Type: Organization
Organization Name: Dept. of Health-Hawaii-Developmental Disabilities Division Cmu4
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Nov 1, 2012
Last Updated: Nov 1, 2012

Practice Location

Address: 45-691 KEAAHALA RD
City: Kaneohe
State: Hawaii
ZIP Code: 96744-3569
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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