Wailuku Dental Group INC

NPI #1073986543 in Wailuku, Hawaii

Provider Information

NPI Number
1073986543
Entity Type
Organization
Organization Name
Wailuku Dental Group INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 5, 2015
Last Updated
Nov 5, 2015

Practice Location

Address
255 IMI KALA ST
State
Hawaii
ZIP Code
96793-1282
Phone
(808) 244-8808

Authorized Official

Name
DR. JONATHAN K LAU, D.D.S.
Title
OWNER
Phone
(808) 244-8808

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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