Organization
AA WINDWARD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD KAWAKAMI-WONG DDS (OWNER DENTIST)
(808) 247-4118
Entity
Organization
Contact information
Practice address
45-1144 KAMEHAMEHA HWY STE 401, KANEOHE, HI 96744-3226
(808) 247-4118
(808) 247-5115
Mailing address
45-1144 KAM HWY STE 401, KANEOHE, HI 96744-3226
(808) 247-4118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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