| NPI | 1285711424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTA GAERLAN-TOKUNAGA Owner 808-689-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: HI DT 1529) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |