| NPI | 1750610275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MERRICK Secretary 808-483-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 1300) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |