Individual
DR. RICHARD CHISHOLM WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1150 S KING ST STE 303, HONOLULU, HI 96814-1951
(808) 589-1500
(808) 589-1220
Mailing address
1150 S KING ST STE 303, HONOLULU, HI 96814-1951
(808) 589-1500
(808) 589-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1272
HI
Other
Enumeration date
02/13/2007
Last updated
07/09/2007
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