NPI | 1932334042 |
---|---|
Entity Type | Organization |
Authorized Contact | LEESA MIYASATO Owner/Dentist 808-887-8801 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: HI DT1389) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2009-05-18 |