| NPI | 1114965522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M TAMASHIRO Member 808-487-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT 1108) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |