Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DT-1808 | HI |
NPI | 1134272347 |
---|---|
Provider Name | Dr. Paul Zehngraff |
First Address | Honolulu, HI 96813-4920 |
Second Address | Kaneohe, HI 96744-3755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |