Individual
MARY WECKBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, OMT
Contact information
Practice address
1970 HANALIMA ST. M204, LIHUE, HI 96766
(808) 482-1017
Mailing address
1970 HANALIMA ST. M204, LIHUE, HI 96766
(808) 482-1017
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1558
HI
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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