| NPI | 1245717578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL LONG President 808-245-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 939) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |