# KAHULUI DENTISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawaii Dental Clinic - Kahului
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891268108
- **Authorized official:** DR. LISA WH WONG DMD (DENTIST)
- **Authorized official phone:** (808) 538-6522

## Contact information

- **Practice address:** 270 DAIRY RD STE 160, KAHULUI, HI 96732-2986
- **Practice address phone:** (808) 242-4774
- **Mailing address:** C/O HAWAII DENTAL, 1050 QUEEN STREET STE 100, HONOLULU, HI 96814
- **Mailing address phone:** (808) 202-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 01/09/2019