| NPI | 1316278906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL P JAUREQUI Owner 808-245-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI HI2009) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2014-08-01 |