| NPI | 1356685341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS TSUGIO NAGATA Owner 808-526-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 1105) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-21 |