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900 Fort Street Mall, Suite 2000 Honolulu, HI 968133715Phone: (808) 5299345 Toll-free: 18558199117 Fax: (808) 5299333 Toll-free: 18558199118REQUEST FOR DENTAL AUTHORIZATION HDS USE ONLY PA No:NEW

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Department of Human Services is a government agency that provides assistance and support to individuals and families in need.

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