Organization
HAWAII DENTAL CLINIC LLC
Active
Other names
Hawaii Dental Clinic Koko Marina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG (DMD)
(808) 538-6522
Entity
Organization
Contact information
Practice address
7192 KALANIANAOLE HWY, Q-103, HONOLULU, HI 96825-1800
(808) 538-6522
Mailing address
50 S BERETANIA ST STE C117B, HONOLULU, HI 96813-2287
(808) 538-6522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2521
HI
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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