| NPI | 1457737272 |
|---|---|
| Doing Business As | HAWAII DENTAL WAILUKU |
| Entity Type | Organization |
| Authorized Contact | NOLAN KIDO Duly Authorized Agent 808-242-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 2545) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: HI 1030) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |