| NPI | 1922335082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE WANG Dentist 808-935-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-1963) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |