Provider Demographics
NPI:1407066632
Name:MALCOLM M CHOY DDS, INC.
Entity Type:Organization
Organization Name:MALCOLM M CHOY DDS, INC.
Other - Org Name:MANOA DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-988-6919
Mailing Address - Street 1:2855 E MANOA RD
Mailing Address - Street 2:#7-105
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1823
Mailing Address - Country:US
Mailing Address - Phone:808-988-6919
Mailing Address - Fax:
Practice Address - Street 1:2855 E MANOA RD
Practice Address - Street 2:#7-105
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1823
Practice Address - Country:US
Practice Address - Phone:808-988-6919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-1903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty