Provider Demographics
NPI:1659863132
Name:KAIZEN DENTAL CENTER
Entity Type:Organization
Organization Name:KAIZEN DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAOKA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-397-0303
Mailing Address - Street 1:1136 UNION MALL STE 502
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2711
Mailing Address - Country:US
Mailing Address - Phone:808-536-3405
Mailing Address - Fax:
Practice Address - Street 1:1136 UNION MALL STE 502
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2711
Practice Address - Country:US
Practice Address - Phone:808-536-3405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2499261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1891767927OtherALL INSURANCES
HI1700126471OtherALL OTHER INSURANCES