Provider Demographics
NPI:1811222854
Name:CHRIS K CHOW DDS INC
Entity Type:Organization
Organization Name:CHRIS K CHOW DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-553-3602
Mailing Address - Street 1:PO BOX 1389
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1389
Mailing Address - Country:US
Mailing Address - Phone:808-553-3602
Mailing Address - Fax:808-553-3603
Practice Address - Street 1:15 KAUNAKAKAI PL
Practice Address - Street 2:SUITE 6
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-553-3602
Practice Address - Fax:808-553-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI011701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty