| NPI | 1821220716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY K FONG Owner/President 808-596-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI 1268) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |