| NPI | 1104162858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON CHAEKAL Owner 808-329-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI DT-1904) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT-1904) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2013-07-24 |