NPI | 1548595630 |
---|---|
Former Legal Business Name | KAHALA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | RYAN MAEHARA Treasurer 808-734-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-1210) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |