| NPI | 1659424521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H. HIRANO Member 808-335-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 1660) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI 1705) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |