Provider Demographics
NPI:1104946359
Name:ROYAL KUNIA DENTAL, INC.
Entity type:Organization
Organization Name:ROYAL KUNIA DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AILEEN LUCIA
Authorized Official - Middle Name:CODEN
Authorized Official - Last Name:LAPITAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-678-9588
Mailing Address - Street 1:94-673 KUPUOHI ST STE C102
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5372
Mailing Address - Country:US
Mailing Address - Phone:808-678-9588
Mailing Address - Fax:
Practice Address - Street 1:94-673 KUPUOHI ST STE C102
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5372
Practice Address - Country:US
Practice Address - Phone:808-678-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI19921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty