Provider Demographics
NPI:1730123050
Name:DENTAL CARE CENTERS OF HAWAII, INC.
Entity Type:Organization
Organization Name:DENTAL CARE CENTERS OF HAWAII, INC.
Other - Org Name:GENTLE DENTAL (AEIA/PEARLRIDGE)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PC PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-869-7645
Mailing Address - Street 1:1101 SE TECH CENTER DRIVE
Mailing Address - Street 2:STE 195
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5511
Mailing Address - Country:US
Mailing Address - Phone:360-869-7645
Mailing Address - Fax:866-227-5633
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:STE 715
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4339
Practice Address - Country:US
Practice Address - Phone:808-488-8119
Practice Address - Fax:808-487-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty