| NPI | 1518342401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN L. DE LOS REYES Dentist/Owner 808-389-7568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: HI DT-1855) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |