Tooth Surfer LLC

NPI #1316281421 in Pearl City, Hawaii

Provider Information

NPI Number: 1316281421
Entity Type: Organization
Organization Name: Tooth Surfer LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TOOTH SURFER LLC
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 98-1238 KAAHUMANU ST STE 305
City: Pearl City
State: Hawaii
ZIP Code: 96782-3250
Phone: (808) 487-3355

Authorized Official

Name: DR. DARREN D.K. WONG, D.D.S.
Title: DENTIST/OWNER
Phone: (925) 956-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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