# MAUNA FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013683358
- **Authorized official:** DR. KHEALYNN HARRIS DMD (CO- OWNER)
- **Authorized official phone:** (801) 857-8001

## Contact information

- **Practice address:** 280 PONAHAWAI ST STE 201, HILO, HI 96720-3075
- **Practice address phone:** (808) 935-5488
- **Mailing address:** 280 PONAHAWAI ST STE 201, HILO, HI 96720-3075
- **Mailing address phone:** (808) 935-5488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2021
- **Last updated:** 08/17/2021