NPI | 1760576060 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYL M C WONG Dentist President Of S Corp 808-732-0933 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: HI 1271) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |