Provider Demographics
NPI:1497088801
Name:ALDEN T. SUZUI, DDS INC
Entity Type:Organization
Organization Name:ALDEN T. SUZUI, DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-988-3500
Mailing Address - Street 1:2752 WOODLAWN DR STE 5-206
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1855
Mailing Address - Country:US
Mailing Address - Phone:808-988-3500
Mailing Address - Fax:
Practice Address - Street 1:2752 WOODLAWN DR STE 5-206
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1855
Practice Address - Country:US
Practice Address - Phone:808-988-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI19811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty