| NPI | 1811124142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TAMAYOSE LAWLER President 808-973-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: HI dt1288) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2011-06-30 |