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Contact Information

PACIFIC MAXILLOFACIAL CENTER, LLC
1060 YOUNG ST
SUITE 312
HONOLULU, HI96814-1609
 Phone: 808-585-8455
 Fax: 808-585-8458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for PACIFIC MAXILLOFACIAL CENTER LLC · (Female)

NPI # 1518986579
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2006
Last updated 01/19/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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