Organization
OAHU ORAL AND MAXILLOFACIAL SURGERY
Active
Parent organization
OAHU ORAL & MAXILLOFACIAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAHU ORAL & MAXILLOFACIAL SURGERY
Authorized official
HEIDI MARTIN (CREDENTIALING AND CONTRACTING)
(808) 230-8000
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD STE 920, HONOLULU, HI 96814-4405
(808) 973-3700
(808) 973-3707
Mailing address
45-1144 KAMEHAMEHA HWY STE 301, KANEOHE, HI 96744-3226
(808) 230-8000
(808) 369-8292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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