| NPI | 1083936694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K MANAGO President 808-592-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 1877) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |