| NPI | 1760625149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE S TINHAN Secretary 808-485-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: HI D2027) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |