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Organization

TOOTH SURFER LLC

Active
Parent organization
TOOTH SURFER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOOTH SURFER LLC
Authorized official
DR. DARREN D.K. WONG D.D.S. (DENTIST/OWNER)
(925) 956-2002
Entity
Organization

Contact information

Practice address
98-1238 KAAHUMANU ST STE 305, PEARL CITY, HI 96782-3250
(808) 487-3355
(808) 486-3535
Mailing address
98-1238 KAAHUMANU ST STE 305, PEARL CITY, HI 96782-3250
(808) 487-3355
(808) 486-3535

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2033
HI

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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