| NPI | 1629620455 |
|---|---|
| Doing Business As | WAILUKU DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CATHERINE VARGAS Member 808-244-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |