| NPI | 1376339986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE D MATHSON Director Of Business Development 808-430-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |