| NPI | 1467761775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICRIS HERNANDEZ MACAPAGAL Owner 808-596-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT2002) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |