| NPI | 1477964237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN R HOLLIDAY Member 808-485-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI 2077) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |