Provider Demographics
NPI:1285866178
Name:WENDY ANN N WAKAI, DMD INC
Entity Type:Organization
Organization Name:WENDY ANN N WAKAI, DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY ANN
Authorized Official - Middle Name:N
Authorized Official - Last Name:WAKAI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-593-8861
Mailing Address - Street 1:1268 YOUNG ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1801
Mailing Address - Country:US
Mailing Address - Phone:808-593-8661
Mailing Address - Fax:808-593-6682
Practice Address - Street 1:1268 YOUNG ST STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1801
Practice Address - Country:US
Practice Address - Phone:808-593-8861
Practice Address - Fax:808-593-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-15591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty