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1417101569
PACIFIC DERMATOLOGY INC
WAILUKU, HI
NPI
1417101569
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Entity Type
Organization
Authorized Contact
JAC DANIEL MARDEN
President/Physician
808-249-8600
Organization Subpart ?
Yes
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2008-11-14
Last Update Date
2009-01-31
Business Address
PACIFIC DERMATOLOGY INC
99 S MARKET ST STE 206
WAILUKU, HI 96793-2259
Phone number: 808-249-8600
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Mailing Address
PACIFIC DERMATOLOGY INC
99 S MARKET ST STE 206
WAILUKU, HI 96793-2259
Phone number: 808-249-8600
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