| NPI | 1003228982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG G FOSTVEDT Dentist/Owner 808-886-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT 1606) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |