# DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU2

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

## Provider details

- **NPI number:** 1336493352
- **Authorized official:** DR. DAVID FRAY D.D.S. (CHIEF)
- **Authorized official phone:** (808) 586-5842

## Contact information

- **Practice address:** 601 KAMOKILA BLVD, ROOM 300 DDD-CMU2, KAPOLEI, HI 96707-2023
- **Practice address phone:** (808) 587-6043
- **Mailing address:** 1250 PUNCHBOWL ST, ROOM 463 ATTN: PHAO, HONOLULU, HI 96813-2416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012