Dr. Wallace F. Chong Jr., DDS
Dentist, General Practice in Hilo, HI. Individual provider (NPI-1).
NPI number1861520249
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861520249
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wallace F. Chong Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DT-729 | HI | Yes |
Practice location
74 Ponahawai StHilo, HI 96720-3026
Phone 808-935-5651 · Fax 808-935-5551
Mailing address
74 Ponahawai StHilo, HI 96720-3026
Phone 808-935-5651 · Fax 808-935-5551
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All 59 General Practice Dentistry providers in Hilo · All 2,324 providers in Hilo
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