| NPI | 1285785824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLSWORTH H TAKATA President 808-935-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: HI 2068) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: HI 991) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: HI 751) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: HI 2102) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |