Organization
HAWAII DENTAL GROUP, INC.
Active
Parent organization
HAWAII DENTAL GROUP, INC.
Other names
Hawaii Family Dental Centers-Waterfront
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII DENTAL GROUP, INC.
Authorized official
DR. GARY KONDO (CHIEF EXECUTIVE OFFICER)
(808) 523-3103
Entity
Organization
Contact information
Practice address
500 ALA MOANA BLVD, SUITE 7-300, HONOLULU, HI 96813-4920
(808) 536-4332
(808) 537-6640
Mailing address
500 ALA MOANA BLVD, SUITE 7-220, HONOLULU, HI 96813-4920
(808) 523-3103
(808) 523-3122
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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