NPI | 1043422439 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL D.J. YEE President 808-242-6857 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: HI DT-1111) |
Enumeration Date | 2007-05-05 |
Last Update Date | 2020-08-22 |