| NPI | 1710199054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H. RUSSELL President 808-245-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI DT1886) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |