Provider Demographics
NPI:1164067682
Name:DENTAL WORLD KANEOHE LLC
Entity Type:Organization
Organization Name:DENTAL WORLD KANEOHE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAEKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-593-0889
Mailing Address - Street 1:1330 ALA MOANA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4263
Mailing Address - Country:US
Mailing Address - Phone:808-593-0889
Mailing Address - Fax:
Practice Address - Street 1:46-005 KAWA ST STE 204
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3812
Practice Address - Country:US
Practice Address - Phone:808-235-2932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental