Organization
KAHULUI DENTISTS LLC
Active
Other names
Hawaii Dental Clinic - Kahului
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WH WONG DMD (DENTIST)
(808) 538-6522
Entity
Organization
Contact information
Practice address
270 DAIRY RD STE 160, KAHULUI, HI 96732-2986
(808) 242-4774
Mailing address
C/O HAWAII DENTAL, 1050 QUEEN STREET STE 100, HONOLULU, HI 96814
(808) 202-2092
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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