Provider Demographics
NPI:1346737202
Name:DENTISTRY FOR CHILDREN INC.
Entity Type:Organization
Organization Name:DENTISTRY FOR CHILDREN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-949-8411
Mailing Address - Street 1:1319 PUNAHOU STREET
Mailing Address - Street 2:SUITE 1080
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826
Mailing Address - Country:US
Mailing Address - Phone:808-949-8411
Mailing Address - Fax:808-947-6262
Practice Address - Street 1:1319 PUNAHOU STREET
Practice Address - Street 2:SUITE 1080
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826
Practice Address - Country:US
Practice Address - Phone:808-949-8411
Practice Address - Fax:808-947-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-19601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty