Provider Demographics
NPI:1437298619
Name:KAU, MANUEL KUM TONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:KUM TONG
Last Name:KAU
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 1:1841 WILDER AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3348
Mailing Address - Country:US
Mailing Address - Phone:808-942-8521
Mailing Address - Fax:808-942-8521
Practice Address - Street 1:302 CALIFORNIA AVE STE 204
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1841
Practice Address - Country:US
Practice Address - Phone:808-622-2633
Practice Address - Fax:808-622-2342
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice