Provider Demographics
NPI:1104306638
Name:WON CHAEKAL DDS, LLC
Entity type:Organization
Organization Name:WON CHAEKAL DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAEKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-593-0889
Mailing Address - Street 1:95-720 LANIKUHANA AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2984
Mailing Address - Country:US
Mailing Address - Phone:808-625-8899
Mailing Address - Fax:
Practice Address - Street 1:1330 ALA MOANA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4263
Practice Address - Country:US
Practice Address - Phone:808-593-0889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty