Organization
NICS MANAGEMENT LLC
Active
Other names
Town Center Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
WON CHAEKAL D.D.S. (OWNER)
(808) 625-8899
Entity
Organization
Contact information
Practice address
95-720 LANIKUHANA AVE, SUITE 210, MILILANI, HI 96789-2985
(808) 625-8899
Mailing address
95-720 LANIKUHANA AVE, SUITE 210, MILILANI, HI 96789-2985
(808) 625-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DT1708
HI
1223G0001X
General Practice Dentistry
DT1838
HI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DT1904
HI
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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