Provider Demographics
NPI:1588895460
Name:ARLEEN G.A. REGALA, DDS, INC.
Entity type:Organization
Organization Name:ARLEEN G.A. REGALA, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:TANJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-488-1900
Mailing Address - Street 1:99-128 AIEA HEIGHTS DR STE 602
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3939
Mailing Address - Country:US
Mailing Address - Phone:808-488-1900
Mailing Address - Fax:808-487-8998
Practice Address - Street 1:99-128 AIEA HEIGHTS DR STE 602
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3939
Practice Address - Country:US
Practice Address - Phone:808-488-1900
Practice Address - Fax:808-487-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-19501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty