Individual
DR. STEPHANIE ML WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4211 WAIALAE AVE STE 204, HONOLULU, HI 96816-5312
(808) 732-3072
Mailing address
4211 WAIALAE AVE STE 204, HONOLULU, HI 96816-5312
(808) 732-3072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1605/6489-9
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669516258
NPI2
HI
Enumeration date
08/24/2009
Last updated
08/24/2009
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