NPI | 1689045379 |
---|---|
Doing Business As | KAHULUI DENTAL |
Entity Type | Organization |
Authorized Contact | TRACE RYAN BAXTER Owner 808-871-6337 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT4292) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-07 |