| Kenneth Y H Wong Dds Inc | |
|
4211 Waialae Avenue Suite 505 Honolulu HI 96816-5318 | |
| (808) 732-0933 | |
| (808) 737-2605 |
| Full Name | Kenneth Y H Wong Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4211 Waialae Avenue, Honolulu, Hawaii |
| Authorized Official Name and Position | Daryl M C Wong (DENTIST PRESIDENT OF S CORP) |
| Authorized Official Contact | 8087320933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Y H Wong Dds Inc 4211 Waialae Avenue Suite 505 Honolulu HI 96816-5318 Ph: (808) 732-0933 | Kenneth Y H Wong Dds Inc 4211 Waialae Avenue Suite 505 Honolulu HI 96816-5318 Ph: (808) 732-0933 |
| NPI Number | 1760576060 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760576060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1271 (Hawaii) | Primary |
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