Provider Demographics
NPI:1033444294
Name:ALEXANDER K. KALOI, DDS, INC.
Entity Type:Organization
Organization Name:ALEXANDER K. KALOI, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALOI
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:808-696-7575
Mailing Address - Street 1:85-855 FARRINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792
Mailing Address - Country:US
Mailing Address - Phone:808-696-7575
Mailing Address - Fax:808-696-6622
Practice Address - Street 1:85-855 FARRINGTON HWY
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792
Practice Address - Country:US
Practice Address - Phone:808-696-7575
Practice Address - Fax:808-696-6622
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEXANDER K. KALOI, DDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1710028840Medicaid