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 |