Organization
HAWAII DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (MEMBER)
(808) 538-6522
Entity
Organization
Contact information
Practice address
50 S BERETANIA ST, C-117B, HONOLULU, HI 96813-2208
(808) 538-6522
Mailing address
50 S BERETANIA ST, C-117B, HONOLULU, HI 96813-2208
(808) 538-6522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1290
HI
122300000X
Dentist
Primary
2521
HI
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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