| NPI | 1285967075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E ROTH Office Manager 808-661-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 77-984) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |