Khara Maciel, RDH

NPI #1558687350 in Hickam Afb, Hawaii

Provider Information

NPI Number: 1558687350
Entity Type: Individual
Name: Khara Maciel, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 19, 2010
Last Updated: Apr 19, 2010

Practice Location

Address: 755 SCOTT CIRCLE
Address 2: 15TH DENTAL FLIGHT
City: Hickam Afb
State: Hawaii
ZIP Code: 96853-5399
Phone: (808) 448-6373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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