NPI | 1255711784 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK JOHN MUNLEY Member 808-561-2790 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: HI DT 2365) |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-05-29 |