Organization
ROGER T.L. WONG LLC
Active
Other names
Hawaii Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN Y KIDO (ASSISTANT)
(808) 538-6522
Entity
Organization
Contact information
Practice address
50 S BERETANIA ST, SUITE C-117B, HONOLULU, HI 96813-2208
(808) 538-6522
(808) 538-1641
Mailing address
50 S BERETANIA ST, SUITE C-117B, HONOLULU, HI 96813-2208
(808) 538-6522
(808) 538-1641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-1290
HI
122300000X
Dentist
DT-2521
HI
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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