| NPI | 1851663033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE A CLOUTIER Financial/Insurance Manager 808-941-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2022-07-21 |