Provider Demographics
NPI:1063760338
Name:MARLON C. PARATO DMD LLC
Entity type:Organization
Organization Name:MARLON C. PARATO DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARATO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-942-5639
Mailing Address - Street 1:94-826 MOLOALO ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3305
Mailing Address - Country:US
Mailing Address - Phone:808-677-3401
Mailing Address - Fax:
Practice Address - Street 1:94-826 MOLOALO ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3305
Practice Address - Country:US
Practice Address - Phone:808-677-3401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARLON C PARATO DMD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT 20031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty