Provider Demographics
NPI:1689074759
Name:ANDREW C. DADO, D.D.S., L.L.C.
Entity Type:Organization
Organization Name:ANDREW C. DADO, D.D.S., L.L.C.
Other - Org Name:DADO DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:DADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-497-3605
Mailing Address - Street 1:4850 KAPOLEI PKWY
Mailing Address - Street 2:#405
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3203
Mailing Address - Country:US
Mailing Address - Phone:808-497-3605
Mailing Address - Fax:
Practice Address - Street 1:4850 KAPOLEI PKWY
Practice Address - Street 2:#405
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-3203
Practice Address - Country:US
Practice Address - Phone:808-497-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty