Organization
EWA BEACH DENTISTS LLC
Active
Other names
Hawaii Dental Clinic Ewa Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (MANAGER)
(808) 308-9720
Entity
Organization
Contact information
Practice address
105 FORT WEAVER ROAD, STE 105, EWA BEACH, HI 96706
(808) 308-9720
Mailing address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
(808) 202-2092
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2521
HI
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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