| 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 |