Organization
HAWAII DENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL T. MOTOOKA D.D.S. (GENERAL DENTIST)
(808) 533-3892
Entity
Organization
Contact information
Practice address
1139 BETHEL ST, HONOLULU, HI 96813-2207
(808) 533-3892
(808) 523-1240
Mailing address
1139 BETHEL ST, HONOLULU, HI 96813-2207
(808) 533-3892
(808) 523-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1784
HI
1223G0001X
General Practice Dentistry
1961
HI
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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