Organization
ELITE SMILE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WON CHAEKAL DDS (OWNER)
(808) 329-4425
Entity
Organization
Contact information
Practice address
75-1028 HENRY ST, SUITE 203, KAILUA KONA, HI 96740-1693
(808) 329-4425
(808) 329-0872
Mailing address
75-1028 HENRY ST, SUITE 203, KAILUA KONA, HI 96740-1693
(808) 329-4425
(808) 329-0872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DT-1904
HI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DT-1904
HI
Other
Enumeration date
12/28/2012
Last updated
07/24/2013
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