Organization
HAWAII DENTAL CLINIC KAHALA HARADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG (MEMBER)
(808) 538-6522
Entity
Organization
Contact information
Practice address
4211 WAIALAE AVE # G22, HONOLULU, HI 96816-5319
(808) 735-7777
Mailing address
50 S BERETANIA ST, C-117B, HONOLULU, HI 96813-2208
(808) 538-6522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT2521
HI
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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