| NPI | 1578910568 |
|---|---|
| Doing Business As | HAWAII DENTAL CLINIC - KAPOLEI VILLAGE |
| Entity Type | Organization |
| Authorized Contact | LISA WH WONG Manager 808-202-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI 2521) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |