Hawaii Dental Clinic Lanai

NPI #1801208178 in Lanai City, Hawaii

Provider Information

NPI Number: 1801208178
Entity Type: Organization
Organization Name: Hawaii Dental Clinic Lanai
Primary Specialty: Dentist
Enumeration Date: May 21, 2014
Last Updated: May 21, 2014

Practice Location

Address: 730 LANAI AVENUE #101
City: Lanai City
State: Hawaii
ZIP Code: 96763
Phone: (808) 565-6418

Authorized Official

Name: DR. LISA WH WONG, DMD
Title: MEMBER
Phone: (808) 538-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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