Organization
UNIVERSITY OF HAWAII MAUI COMMUNITY COLLEGE
Active
Other names
Maui Oral Health Center Initiative
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY K JOHNSON MSN APRN (ALLIED HEALTH DEPARTMENT CHAIR)
(808) 984-3250
Entity
Organization
Contact information
Practice address
752 LOWER MAIN STREET, MAUI ORAL HEALTH CENTER INITIATIVE, WAILUKU, HI 96793-1454
(808) 244-4559
(808) 244-9012
Mailing address
310 KAAHUMANU AVE, ALLIED HEALTH DEPARTMENT MAUI COMMUNITY COLLEGE, KAHULUI, HI 96732-1644
(808) 984-3250
(808) 249-2175
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58924401
—
HI
Enumeration date
01/23/2007
Last updated
08/22/2020
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