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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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