Provider Demographics
NPI:1639483779
Name:KALVIN Y HUR DDS LLC
Entity Type:Organization
Organization Name:KALVIN Y HUR DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-953-4894
Mailing Address - Street 1:60 N BERETANIA ST APT 1403
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4757
Mailing Address - Country:US
Mailing Address - Phone:808-536-1216
Mailing Address - Fax:
Practice Address - Street 1:4211 WAIALAE AVE STE G22
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5323
Practice Address - Country:US
Practice Address - Phone:808-735-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT22741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty