Organization
KAWILI DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANIE WANG DDS (DENTIST)
(808) 935-0030
Entity
Organization
Contact information
Practice address
50 W KAWILI ST, HILO, HI 96720-5037
(808) 935-0030
Mailing address
50 W KAWILI ST, HILO, HI 96720
(808) 935-0030
(808) 935-0062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1963
HI
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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