Organization
ALLEN M.O. WONG, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MARN KEONG WONG M.B.A. (OFFICE MANAGER)
(808) 538-7279
Entity
Organization
Contact information
Practice address
1300 PALI HWY, SUITE 211, HONOLULU, HI 96813-2206
(808) 538-1076
(808) 538-1076
Mailing address
1300 PALI HWY, SUITE 211, HONOLULU, HI 96813-2206
(808) 538-1076
(808) 538-1076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000851997
HAWAII MEDICAL SERVICE ASSOCIATION
HI
01
—
1223
HAWAII DENTAL SERVICE
HI
Enumeration date
10/08/2012
Last updated
10/09/2012
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