Provider Demographics
NPI:1437254000
Name:NAKAMARU, KENT HARUO (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:HARUO
Last Name:NAKAMARU
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 1:79-7592 MAMALAHOA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-0750
Mailing Address - Country:US
Mailing Address - Phone:808-322-9357
Mailing Address - Fax:808-322-0921
Practice Address - Street 1:79-7592 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI761122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist