Individual
DR. SCOTT KENDRICK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
848 S BERETANIA ST STE 304, HONOLULU, HI 96813-2551
(808) 531-5071
Mailing address
848 S BERETANIA ST STE 304, HONOLULU, HI 96813-2551
(808) 531-5071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1524
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02171301
—
HI
01
—
1524
HDS
HI
01
—
834948
UNITED CONCORDIA
HI
01
—
A2403-2
HMSA
HI
Enumeration date
02/06/2007
Last updated
07/08/2007
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