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Individual

DR. GUILLERMO ENRIQUE ORRACA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
15TH AEROMEDICAL-DENTAL SQUADRON, 755 SCOTT CIRCLE, HICKAM AFB, HI 96853-5399
(301) 751-0676
Mailing address
502 JULIAN AVE, HONOLULU, HI 96818-4914
(301) 751-0676

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
00962
PR

Other

Enumeration date
10/19/2005
Last updated
11/13/2007
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