Organization
HAWAII ENDODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEXTER K.C. WONG (VICE PRESIDENT)
(808) 536-3963
Entity
Organization
Contact information
Practice address
848 S BERETANIA ST STE 301, HONOLULU, HI 96813-2551
(808) 536-3963
(808) 533-4906
Mailing address
848 S BERETANIA ST STE 301, HONOLULU, HI 96813-2551
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
826
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826
LICENSE NUMBER
HI
Enumeration date
09/07/2006
Last updated
08/22/2020
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