| NPI | 1871826032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN EDWIN FUJIMOTO Owner/President 808-935-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: HI 1218) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |