| NPI | 1124352943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE I TERAMOTO Dentist 808-737-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI dt1393) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2016-04-26 |