| NPI | 1649405937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE ANN ITO-ALMAREZ Office Manager 808-525-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: HI 1908) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: HI 1814) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |