| NPI | 1023128857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE G.C. MEW President & Periodontologist 808-947-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: HI 942) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: HI 942) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |