| NPI | 1497063226 |
|---|---|
| Doing Business As | HAWAII FAMILY DENTAL CENTERS-HILO |
| Entity Type | Organization |
| Authorized Contact | GARY KONDO Chief Executive Officer 808-523-3103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |