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General NPI Number Information
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NPI Number | 1790653061
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Entity Type | Organization
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Legal Business Name | FRONT TOOTH DENTAL LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1060 YOUNG ST STE 305
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City | HONOLULU
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State | HI
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Zip | 96814-1609
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Country | US
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Telephone | 808-528-1200
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Fax | 808-528-1202
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Provider Business Mailing Address
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Address Line | 4211 WAIALAE AVE STE 505
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City | HONOLULU
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State | HI
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Zip | 96816-5318
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Country | US
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Telephone | 808-732-0933
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Fax | 808-737-2605
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. DARREN D.K. WONG
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Credential | DDS
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Telephone | 925-956-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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