| 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 |