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Organization

KIHEI DENTISTS LLC

Active
Other names
Hawaii Dental Clinic Kihei
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA WONG DMD (MANAGER)
(808) 538-6522
Entity
Organization

Contact information

Practice address
300 OHUKAI RD STE B301, KIHEI, HI 96753-8994
(808) 538-6522
Mailing address
ATTN: HAWAII DENTAL, 1050 QUEEN STREET STE 100, HONOLULU, HI 96814
(808) 308-9720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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