NPI | 1659544831 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE A WESSBERG President 808-949-8681 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI DT1039) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |