Provider Demographics
NPI:1245489285
Name:RODNEY S.W. LOO, D.D.S., INC.
Entity type:Organization
Organization Name:RODNEY S.W. LOO, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:SW
Authorized Official - Last Name:LOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-839-7795
Mailing Address - Street 1:2885 PAA STREET,
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4432
Mailing Address - Country:US
Mailing Address - Phone:808-839-7795
Mailing Address - Fax:
Practice Address - Street 1:2885 PAA STREET,
Practice Address - Street 2:SUITE 203
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4432
Practice Address - Country:US
Practice Address - Phone:808-839-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI669122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty