Organization
MAUI DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GIRARD (MANAGER/OWNER)
(808) 268-5175
Entity
Organization
Contact information
Practice address
54 MAUI LANI PKWY, SUITE 2020, WAILUKU, HI 96793-2467
(808) 268-5175
Mailing address
54 MAUI LANI PKWY, SUITE 2020, WAILUKU, HI 96793-2467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT2142
HI
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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