Provider Demographics
NPI:1336516046
Name:KAKAAKO DENTAL CARE LLC
Entity Type:Organization
Organization Name:KAKAAKO DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MARIKO
Authorized Official - Last Name:UWAINE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-533-2861
Mailing Address - Street 1:600 KAPIOLANI BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5139
Mailing Address - Country:US
Mailing Address - Phone:808-533-2861
Mailing Address - Fax:
Practice Address - Street 1:600 KAPIOLANI BLVD STE 204
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5139
Practice Address - Country:US
Practice Address - Phone:808-533-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2532122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty