Gerald H B Wong Dmd INC

NPI #1659432003 in Waimanalo, Hawaii

Provider Information

NPI Number: 1659432003
Entity Type: Organization
Organization Name: Gerald H B Wong Dmd INC
Subpart: Yes (part of a larger organization)
Parent Organization: GERALD H B WONG DMD INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2006
Last Updated: Jan 14, 2010

Practice Location

Address: 41-1537 KALANIANAOLE HWY
Address 2: SUITE 10-B
City: Waimanalo
State: Hawaii
ZIP Code: 96795-1185
Phone: (808) 259-9454

Authorized Official

Name: DR. GERALD H B WONG, DMD INC
Title: PRESIDENT
Phone: (808) 259-9454

Specialties & Taxonomy Codes

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

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