| NPI | 1528484334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA TOM Doctor 808-487-9948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 170400A0078749) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-05-22 |