| NPI | 1083656359 |
|---|---|
| Doing Business As | GENTLE DENTAL (KONA) |
| Entity Type | Organization |
| Authorized Contact | LEIGHTON THOMAS MILLER Pc Holder 209-476-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |