Provider Demographics
NPI:1750096053
Name:OHANA SMILES LLC
Entity type:Organization
Organization Name:OHANA SMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-203-8473
Mailing Address - Street 1:95-218 LILII PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4221
Mailing Address - Country:US
Mailing Address - Phone:808-203-8473
Mailing Address - Fax:
Practice Address - Street 1:30 AULIKE ST STE 204
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2750
Practice Address - Country:US
Practice Address - Phone:808-203-8473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty