Organization
PACIFIC MAXILLOFACIAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD K HARUKI DDS, MD (PRESIDENT)
(808) 585-8455
Entity
Organization
Contact information
Practice address
1060 YOUNG ST, SUITE 312, HONOLULU, HI 96814-1609
(808) 585-8455
(808) 585-8458
Mailing address
1060 YOUNG ST, SUITE 312, HONOLULU, HI 96814-1609
(808) 585-8455
(808) 585-8458
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
07/19/2006
Last updated
01/19/2021
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