| NPI | 1669826244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK B TOM Owner 808-488-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI DT-2008) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |