NPI | 1669538914 |
---|---|
Doing Business As | PEDIATRIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BERT MASAYOSHI SUMIKAWA Preident 808-593-8828 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI 716) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2020-08-22 |