Provider Demographics
NPI:1619734100
Name:KAIOKEN INCORPORATED
Entity Type:Organization
Organization Name:KAIOKEN INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS KYUNG
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:671-787-8533
Mailing Address - Street 1:PO BOX 5027
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-5027
Mailing Address - Country:US
Mailing Address - Phone:670-588-8533
Mailing Address - Fax:
Practice Address - Street 1:CLL PLAZA UNIT 1 & 2
Practice Address - Street 2:5911 CHALAN PALI ARNOLD ROAD
Practice Address - City:CHALAN LAULAU
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-588-8533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty