| NPI | 1609998368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARIE CATOBUS Business Assistant 808-239-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 891) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI 1073) |
| 122300000X Dentist (Licence: HI 2100) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |