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Individual

MICHAEL MCNAMARA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
250 MAKALAPA DR, COMPACFLT HEALTH SERVICES (N01HD), PEARL HARBOR, HI 96860-3131
(808) 471-2463
Mailing address
250 MAKALAPA DR, COMPACFLT HEALTH SERVICES (N01HD), PEARL HARBOR, HI 96860-3131

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28760
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1234
LLIC
CA
Enumeration date
01/12/2006
Last updated
07/08/2007
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