NPI | 1275841025 |
---|---|
Doing Business As | HAWAII FAMILY DENTAL CENTERS-WATERFRONT |
Entity Type | Organization |
Authorized Contact | GARY KONDO Chief Executive Officer 808-523-3103 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2010-09-15 |