NPI | 1629212675 |
---|---|
Entity Type | Organization |
Authorized Contact | DAYNA PERREIRA Office Manager 808-488-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI 2008) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2009-04-21 |