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Organization

KAPOLEI DENTISTS LLC

Active
Other names
Hawaii Dental Clinic - Kapolei Village
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA WH WONG (MANAGER)
(808) 202-2092
Entity
Organization

Contact information

Practice address
4850 KAPOLEI PKWY STE 304, KAPOLEI, HI 96707-3204
(808) 202-2092
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
2521
HI

Other

Enumeration date
05/19/2016
Last updated
05/19/2016
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