University of Hawaii Maui Community College

NPI #1518012434 in Wailuku, Hawaii

Provider Information

NPI Number: 1518012434
Entity Type: Organization
Organization Name: University of Hawaii Maui Community College
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 752 LOWER MAIN STREET
Address 2: MAUI ORAL HEALTH CENTER INITIATIVE
City: Wailuku
State: Hawaii
ZIP Code: 96793-1454
Phone: (808) 244-4559

Authorized Official

Name: MS. NANCY K JOHNSON, MSN APRN
Title: ALLIED HEALTH DEPARTMENT CHAIR
Phone: (808) 984-3250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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