Organization
MAUI ORAL SURGERY LLC
Active
Parent organization
MAUL ORAL SURGERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAUL ORAL SURGERY LLC
Authorized official
RICHARD A RASMUSSEN DDS (MEMBER)
(808) 244-7634
Entity
Organization
Contact information
Practice address
1063 L MAIN ST, STE C221, WAILUKU, HI 96793
(808) 244-7634
(808) 242-2851
Mailing address
1063 L MAIN ST, STE C221, WAILUKU, HI 96793
(808) 244-7634
(808) 242-2851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT926
HI
Other
Enumeration date
12/06/2007
Last updated
09/24/2008
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