Provider Demographics
NPI:1811931116
Name:DENTAL CARE CENTERS OF HAWAII, INC.
Entity type:Organization
Organization Name:DENTAL CARE CENTERS OF HAWAII, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PC PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-869-7645
Mailing Address - Street 1:1101 SE TECH CENTER DRIVE
Mailing Address - Street 2:STE 195
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5511
Mailing Address - Country:US
Mailing Address - Phone:360-869-7645
Mailing Address - Fax:866-227-5633
Practice Address - Street 1:92-605 MAKAKILO DR
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1288
Practice Address - Country:US
Practice Address - Phone:808-672-0397
Practice Address - Fax:808-672-5730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty