Provider Demographics
NPI:1922177112
Name:ENDODONTIC ASSOCIATES INC
Entity Type:Organization
Organization Name:ENDODONTIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:SHOICHI
Authorized Official - Last Name:HAGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-591-1515
Mailing Address - Street 1:1040 SOUTH KING ST SUITE 406
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2174
Mailing Address - Country:US
Mailing Address - Phone:808-591-1515
Mailing Address - Fax:808-593-8628
Practice Address - Street 1:1040 SOUTH KING ST SUITE 406
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2174
Practice Address - Country:US
Practice Address - Phone:808-591-1515
Practice Address - Fax:808-593-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty