Cory K. Wakano,d.d.s., INC

NPI #1518293125 in Hilo, Hawaii

Provider Information

NPI Number: 1518293125
Entity Type: Organization
Organization Name: Cory K. Wakano,d.d.s., INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2009
Last Updated: Nov 2, 2009

Practice Location

Address: 120 PAUAHI ST
Address 2: SUITE 204
City: Hilo
State: Hawaii
ZIP Code: 96720-3067
Phone: (808) 961-5617

Authorized Official

Name: DR. CORY K WAKANO, D.D.S.
Title: PRESIDENT
Phone: (808) 961-5617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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