Maui Oral Surgery LLC

NPI #1962685511 in Wailuku, Hawaii

Provider Information

NPI Number: 1962685511
Entity Type: Organization
Organization Name: Maui Oral Surgery LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MAUL ORAL SURGERY LLC
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2007
Last Updated: Sep 24, 2008

Practice Location

Address: 1063 L MAIN ST
Address 2: STE C221
City: Wailuku
State: Hawaii
ZIP Code: 96793
Phone: (808) 244-7634

Authorized Official

Name: RICHARD A RASMUSSEN, DDS
Title: MEMBER
Phone: (808) 244-7634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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