| NPI | 1063647931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M GRECO President/Owner 808-885-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI DT1813) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |