Provider Demographics
NPI:1154457430
Name:CABABAT, MARILOU CABALO (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARILOU
Middle Name:CABALO
Last Name:CABABAT
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 1:94-428 MOKUOLA ST
Mailing Address - Street 2:SUITE# 104
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3396
Mailing Address - Country:US
Mailing Address - Phone:808-678-8300
Mailing Address - Fax:808-678-8303
Practice Address - Street 1:94-428 MOKUOLA ST
Practice Address - Street 2:SUITE# 104
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3396
Practice Address - Country:US
Practice Address - Phone:808-678-8300
Practice Address - Fax:808-678-8303
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT 19901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice