| NPI | 1730588237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R NGUYEN Owner 808-969-1839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT 2213) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |