| NPI | 1932337961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDON D. FONG Sole Proprietor 808-947-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: HI 1440) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |