| NPI | 1013135177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M. MIZOGUCHI Owner 808-596-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: HI DT-1450) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |