Provider Demographics
NPI:1326026329
Name:PEDODONTIC ASSOCIATES INC
Entity type:Organization
Organization Name:PEDODONTIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SATO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-487-7933
Mailing Address - Street 1:4211 WAIALAE AVENUE
Mailing Address - Street 2:STE 405
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5317
Mailing Address - Country:US
Mailing Address - Phone:808-735-1733
Mailing Address - Fax:808-735-1735
Practice Address - Street 1:4211 WAIALAE AVENUE
Practice Address - Street 2:STE 405
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5317
Practice Address - Country:US
Practice Address - Phone:808-735-1733
Practice Address - Fax:808-735-1735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty