NPI | 1396097259 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA N TOM President/Owner 808-778-4929 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: HI DT1704) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2012-10-02 |