| NPI | 1659449023 |
|---|---|
| Doing Business As | WAILEA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C OLSON Owner/Dentist 808-875-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: HI 2487) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-01-30 |