Provider Demographics
NPI:1407930985
Name:KATO, RALPH K (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:K
Last Name:KATO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 LOWER MAIN ST
Mailing Address - Street 2:STE 201C
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793
Mailing Address - Country:US
Mailing Address - Phone:808-244-7651
Mailing Address - Fax:808-249-0912
Practice Address - Street 1:1063 LOWER MAIN ST
Practice Address - Street 2:STE 201C
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-244-7651
Practice Address - Fax:808-249-0912
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06621901Medicaid
86603OtherHMSA