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Organization
MILILANI DENTISTS LLC
Active
Organization
MILILANI DENTISTS LLC
Active
Other names
Hawaii Dental Clinic Mililani
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (MANAGER)
(808) 538-6522
Entity
Organization
Contact information
Practice address
95-390 KUAHELANI AVE # 4E95-390, MILILANI, HI 96789-1192
(808) 538-6522
Mailing address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DT2521
HI
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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