Provider Demographics
NPI:1043684947
Name:CRAIG R HARUKI DDS INC.
Entity Type:Organization
Organization Name:CRAIG R HARUKI DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-245-3003
Mailing Address - Street 1:4359 KUKUI GROVE ST
Mailing Address - Street 2:101
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2008
Mailing Address - Country:US
Mailing Address - Phone:808-245-3003
Mailing Address - Fax:
Practice Address - Street 1:4359 KUKUI GROVE ST
Practice Address - Street 2:101
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2008
Practice Address - Country:US
Practice Address - Phone:808-245-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1700261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental