| NPI | 1235339839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. ORNELLES Sole Member, LLC 808-596-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: HI DT-1735) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2007-07-21 |