NPI | 1487885166 |
---|---|
Doing Business As | PACIFIC DENTAL & IMPLANT SOLUTIONS |
Entity Type | Organization |
Authorized Contact | JMI L ASAM Member 808-781-9964 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2153) |
Additional Taxonomies | 122300000X Dentist (Licence: HI DT-2153) |
1223P0700X Dentist, Prosthodontics (Licence: HI DT-2153) | |
Enumeration Date | 2009-07-29 |
Last Update Date | 2013-09-17 |