Organization
HAWAII DENTAL CLINIC LANAI
Active
Other names
Hawaii Dental Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (MEMBER)
(808) 538-6522
Entity
Organization
Contact information
Practice address
730 LANAI AVENUE #101, LANAI CITY, HI 96763
(808) 565-6418
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
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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