Provider Demographics
NPI:1356434385
Name:WONG, DARREN DK (DDS)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:DK
Last Name:WONG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 MONSARRAT AVE #7
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815
Mailing Address - Country:US
Mailing Address - Phone:808-735-8883
Mailing Address - Fax:808-732-0240
Practice Address - Street 1:3045 MONSARRAT AVE #7
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815
Practice Address - Country:US
Practice Address - Phone:808-735-8883
Practice Address - Fax:808-732-0240
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI20331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice