Provider Demographics
NPI:1750697264
Name:BENJAMIN CHU DDS & ASSOCIATES
Entity type:Organization
Organization Name:BENJAMIN CHU DDS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-841-5515
Mailing Address - Street 1:2153 N KING ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4570
Mailing Address - Country:US
Mailing Address - Phone:808-841-5515
Mailing Address - Fax:
Practice Address - Street 1:2153 N KING ST
Practice Address - Street 2:STE 102
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4570
Practice Address - Country:US
Practice Address - Phone:808-841-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT9071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty