| NPI | 1962617597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LUNG President 808-973-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI 1088) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-09-04 |