| Tooth Surfer Llc | |
|
98-1238 Kaahumanu St Ste 305 Pearl City HI 96782-3250 | |
| (808) 487-3355 | |
| (808) 486-3535 |
| Full Name | Tooth Surfer Llc |
|---|---|
| Speciality | Dentist |
| Location | 98-1238 Kaahumanu St Ste 305, Pearl City, Hawaii |
| Authorized Official Name and Position | Darren D.k. Wong (DENTIST/OWNER) |
| Authorized Official Contact | 9259562002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Surfer Llc 98-1238 Kaahumanu St Ste 305 Pearl City HI 96782-3250 Ph: (808) 487-3355 | Tooth Surfer Llc 98-1238 Kaahumanu St Ste 305 Pearl City HI 96782-3250 Ph: (808) 487-3355 |
| NPI Number | 1316281421 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316281421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2033 (Hawaii) | Primary |
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