| NPI | 1669702619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA EMERITA B. SAN DIEGO Dentist 808-597-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2335) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |