Organization
CHARLES DEAN TANTOG JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DEAN TANTOG (COO)
(808) 397-7739
Entity
Organization
Contact information
Practice address
66-183 ACHIU LN, HALEIWA, HI 96712-1402
(808) 397-7739
Mailing address
66-183 ACHIU LN, HALEIWA, HI 96712-1402
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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