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Individual

DR. SHAUN TOM WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
99 S MARKET ST, SUITE 102, WAILUKU, HI 96793-2200
(808) 244-5495
(808) 244-5525
Mailing address
99 S MARKET ST, SUITE 102, WAILUKU, HI 96793-2200
(808) 244-5495
(808) 244-5525

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
47826
CA
1223P0221X
Pediatric Dentistry
Primary
DT 2038
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47826
STATE DENTAL LICENSE NUMB
CA
01
DT 2038
STATE DENTAL LICENSE NUMB
HI
Enumeration date
01/02/2007
Last updated
03/11/2009
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