NPI | 1295100501 |
---|---|
Doing Business As | HAWAII DENTAL CLINIC KOKO MARINA |
Entity Type | Organization |
Authorized Contact | LISA WH WONG Dmd 808-538-6522 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: HI 2521) |
Enumeration Date | 2015-12-11 |
Last Update Date | 2015-12-11 |