| NPI | 1518986579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD K HARUKI President 808-585-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-01-19 |