Individual
MR. GARY Y Q WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 PALI HIGHWAY #205, HONOLULU, HI 96813
(808) 533-3502
Mailing address
1300 PALI HIGHWAY #205, HONOLULU, HI 96813
(808) 533-3502
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1327
HI
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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