| NPI | 1275789216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKSHAY GOVIND Dental Resident 808-547-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: HI 118) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |