Provider Demographics
NPI:1306985239
Name:WAKAI, WENDY ANN NAOMI (DMD)
Entity type:Individual
Prefix:DR
First Name:WENDY ANN
Middle Name:NAOMI
Last Name:WAKAI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 YOUNG STREET
Mailing Address - Street 2:STE 202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1801
Mailing Address - Country:US
Mailing Address - Phone:808-593-8861
Mailing Address - Fax:808-593-8862
Practice Address - Street 1:1268 YOUNG STREET
Practice Address - Street 2:STE 202
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
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1559122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist