NPI | 1538479142 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL P FITTON Owner 808-848-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT2424) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-15 |