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Organization

HAFA ADAI FAMILY DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID KAZUTO MARUTANI DMD (OWNER VP)
(671) 649-7851
Entity
Organization

Contact information

Practice address
590 S MARINE CORPS DR, SUITE 104 ITC BLDG, TAMUNING, GU 96913
(671) 649-7851
(671) 649-7853
Mailing address
PO BOX 8230, TAMUNING, GU 96931
(671) 649-7851
(671) 649-7853

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D994
GU
1223G0001X
General Practice Dentistry
D995
GU
1223P0221X
Pediatric Dentistry
Primary
D988
GU

Other

Enumeration date
12/13/2006
Last updated
09/11/2025
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