Organization
DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FRAY D.D.S. (CHIEF)
(808) 586-5842
Entity
Organization
Contact information
Practice address
3627 KILAUEA AVE, ROOM 411 DDD-CMU 1, HONOLULU, HI 96816-2317
(808) 587-6043
Mailing address
1250 PUNCHBOWL ST, ROOM 463 ATTN: PHAO, HONOLULU, HI 96813-2416
(808) 587-6043
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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