Provider Demographics
NPI:1194826032
Name:KENT H. NAKAMARU DDS INC
Entity Type:Organization
Organization Name:KENT H. NAKAMARU DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:HARUO
Authorized Official - Last Name:NAKAMARU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-322-9357
Mailing Address - Street 1:797592 MAMALAHOA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750
Mailing Address - Country:US
Mailing Address - Phone:808-322-9357
Mailing Address - Fax:808-322-0921
Practice Address - Street 1:797592 MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750
Practice Address - Country:US
Practice Address - Phone:808-322-9357
Practice Address - Fax:808-322-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty