Organization
DENNIS I. MAEHARA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS I MAEHARA M.D. (PRESIDENT)
(808) 955-3937
Entity
Organization
Contact information
Practice address
94-239 WAIPAHU DEPOT ST, STE 105, WAIPAHU, HI 96797
(808) 617-3782
Mailing address
94-239 WAIPAHU DEPOT ST, STE 105, WAIPAHU, HI 96797
(808) 617-3782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2131
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32240
—
HI
Enumeration date
10/29/2007
Last updated
01/23/2012
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