Organization
HAWAII DENTAL CLINIC LLC
Active
Other names
Hawaii Dental Clinic - Kapiolani
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (MANAGER)
(808) 538-6522
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD, SUITE 620, HONOLULU, HI 96814-3503
(808) 596-0837
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
DT2521
HI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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