| NPI | 1821512906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN GURNEY Owner 808-201-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: HI DT-2465) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2021-12-22 |