| NPI | 1598075517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICRIS HERNANDEZ MACAPAGAL Owner 808-841-5515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT2002) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |