Organization
CORY K. WAKANO,D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY K WAKANO D.D.S. (PRESIDENT)
(808) 961-5617
Entity
Organization
Contact information
Practice address
120 PAUAHI ST, SUITE 204, HILO, HI 96720-3067
(808) 961-5617
(808) 935-3290
Mailing address
120 PAUAHI ST, SUITE 204, HILO, HI 96720-3067
(808) 961-5617
(808) 935-3290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1796
HI
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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