Provider Demographics
NPI:1255078218
Name:DYNAMIC DAO
Entity type:Organization
Organization Name:DYNAMIC DAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LORING
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, LAC
Authorized Official - Phone:808-437-5338
Mailing Address - Street 1:399 HUALANI ST STE 20CDE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-6438
Mailing Address - Country:US
Mailing Address - Phone:808-437-5338
Mailing Address - Fax:
Practice Address - Street 1:399 HUALANI ST STE 20CDE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-6438
Practice Address - Country:US
Practice Address - Phone:808-437-5338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty