| NPI | 1275999443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A HERNANDEZ-GIL Manager 808-769-4486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 8677334-9922) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-02-24 |