Individual
PETER H FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 HOOHANA ST., #300, KAHULUI, HI 96732
(808) 871-6283
Mailing address
140 HOOHANA ST., #300, KAHULUI, HI 96732
(808) 871-6283
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1287
HI
Other
Enumeration date
09/25/2006
Last updated
04/17/2009
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