| NPI | 1275951618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WH WONG Member 808-538-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 2521) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI 1290) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |