Provider Demographics
NPI:1689996712
Name:GALE MARANA DDS INC
Entity Type:Organization
Organization Name:GALE MARANA DDS INC
Other - Org Name:PEARL KAI DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-488-7868
Mailing Address - Street 1:98-199 KAMEHAMEHA HWY STE C9
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4820
Mailing Address - Country:US
Mailing Address - Phone:808-488-7868
Mailing Address - Fax:
Practice Address - Street 1:98-199 KAMEHAMEHA HWY STE C9
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4820
Practice Address - Country:US
Practice Address - Phone:808-488-7868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI23871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty